LUZWAVE INTEGRATIVE MEDICINE
NPI 1659913291
Clinic/Center - Medical Specialty in Tustin, CA

Q: What is Solandsoul Medical Group, A Professional Medical Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Active since October 15, 2019

14642 NEWPORT AVE STE 105, TUSTIN, CA 92780(949) 527-6410(714) 486-2309 Get Directions Write a Review

NPPES record last updated: March 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2020, Oct 15, 2019 (2 updates tracked since 2019).

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About Luzwave Integrative Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUZWAVE INTEGRATIVE MEDICINE (NPI 1659913291) is a healthcare organization registered as a medical specialty in Tustin, California and active in the NPI registry since October 2019. The organization lists Linda Mack, Administrator, as its authorized official.

NPPES Registry Identity

NPI1659913291

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameSOLANDSOUL MEDICAL GROUP, A PROFESSIONAL MEDICAL CORPORATION

Location Address14642 NEWPORT AVE STE 105Tustin, CA 92780-6058

Mailing Address14642 Newport Ave Ste 105Tustin, CA 92780-6058 · (949) 527-6400 · Fax (714) 486-2309

Phone(949) 527-6410

Fax(714) 486-2309

Organization SubpartNo

Authorized OfficialLinda MackAdministrator · (949) 527-6400

Enumeration DateOctober 15, 2019

Last NPPES UpdateMarch 17, 20202 updates tracked since enumeration

NPPES CertifiedMarch 17, 2020

✔ NPI 1659913291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

14642 NEWPORT AVE STE 105, Tustin, CA 92780

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Other Names 1

Doing Business AsLuzwave Integrative Medicine

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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