| NPI | 1073387320 |
|---|---|
| Former Legal Business Name | SHORELINE HEALTH LLC |
| Entity Type | Organization |
| Authorized Contact | ALBERTO CHAVEZ CEO 949-500-9540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2023-11-08 |
| Last Update Date | 2023-11-08 |