Organization
SOL LIFE MEDICAL CORPORATION
Active
Other names
OC Sports and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL SUNSHINE (PRESIDENT)
(949) 460-9111
Entity
Organization
Contact information
Practice address
26700 TOWNE CENTRE DR, SUITE 100, FOOTHILL RANCH, CA 92610-2844
(949) 460-9111
(949) 460-9055
Mailing address
26700 TOWNE CENTRE DR, SUITE 100, FOOTHILL RANCH, CA 92610-2844
(949) 460-9111
(949) 460-9055
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
G77348
CA
Other
Enumeration date
08/22/2012
Last updated
01/25/2018
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