Sol Med Spa

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G72538 Issued in CA

Legal business name

SOL MED SPA

Practice address

716 E Mission Blvd
Ste. D
Pomona, CA 91766-7203

Phone

(909) 865-2332

Fax

(909) 868-7129

NPI assigned

Mar 28, 2013

Organization subpart

No

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

Authorized official

Name

Luis Jesus Perez, M.D.NPI 1225099880

Title

President

Phone

(951) 735-1712

Specialties & licenses 1

Addresses

Other names 1

• P.A.Z. Family Health Care Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Luis Jesus Mejia Perez, M.D.

  • Family Medicine Physician
  • Pomona, CA
  • NPI 1225099880
  NPD (past) Authorized official
• Lyda Del Toro, PA-C

  • Physician Assistant
  • Pomona, CA
  • NPI 1598075509
  NPD (past)
• Brian Salabarrieta, PA-C

  • Physician Assistant
  • Riverside, CA
  • NPI 1427392554
  NPD (past)

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364428800000",
    "number": "1861735847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 MAGNOLIA AVE",
            "address_2": "STE. B-1",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793119",
            "telephone_number": "951-735-1712",
            "fax_number": "951-735-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 E MISSION BLVD",
            "address_2": "STE. D",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917667203",
            "telephone_number": "909-865-2332",
            "fax_number": "909-868-7129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOL MED SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-28",
        "last_updated": "2013-03-28",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "JESUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-735-1712",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G72538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "P.A.Z. Family Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Soboh Dental Incorporated
• Ahmed A Soboh, D.D.S.
• Social Model Recovery Systems, Inc.
• Mahogani Sogules
• Lana Sok
• Kerenha Solano Sosa
• Erica Sade Solis
• Jasmin Valeria Solis
• Lisandra Solis
• Lanisha Solomon

• Family Medicine Physician in Pomona, CA
• Providers in Pomona, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; 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.