Provider Demographics
NPI:1861227928
Name:SOLLUS PSYCHIATRY A PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:SOLLUS PSYCHIATRY A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHANA
Authorized Official - Middle Name:
Authorized Official - Last Name:PENNY
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:858-257-6708
Mailing Address - Street 1:5650 EL CAMINO REAL STE 215
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-7128
Mailing Address - Country:US
Mailing Address - Phone:619-649-6658
Mailing Address - Fax:
Practice Address - Street 1:5650 EL CAMINO REAL STE 215
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-7128
Practice Address - Country:US
Practice Address - Phone:800-821-1033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-06
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty