Sol Life Medical Corporation

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

G77348 Issued in CA

Legal business name

SOL LIFE MEDICAL CORPORATION

Practice address

26700 Towne Centre Dr
Suite 100
Foothill Ranch, CA 92610-2844

Phone

(949) 460-9111

Fax

(949) 460-9055

NPI assigned

Aug 22, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Samuel Sunshine

Title

President

Phone

(949) 460-9111

Specialties & licenses 1

Addresses

Other names 1

• OC Sports and Wellness Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1345593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1215285200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26700 TOWNE CENTRE DR",
            "address_2": "SUITE 100",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926102844",
            "telephone_number": "949-460-9111",
            "fax_number": "949-460-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26700 TOWNE CENTRE DR",
            "address_2": "SUITE 100",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926102844",
            "telephone_number": "949-460-9111",
            "fax_number": "949-460-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOL LIFE MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-22",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "SUNSHINE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-460-9111",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "G77348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OC Sports and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teresa E Shields-Szabo, MD
• Elaine T Shim, DDS
• Shine Inside Nutrition LLC
• Skzand Dental
• Monica Smith, MPT, ATC
• Speech Bee Speech Therapy, Inc.
• Amy Spencer, SLP
• Sportslab Socal Dr. JC Zegarra Chiropractic PC
• Rylee Lynn Stahl
• Christopher Stalewski

• Sports Medicine (Family Medicine) Physician in Foothill Ranch, CA
• Providers in Foothill Ranch, CA by specialty
• Sports Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.