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Organization
DELTA SHORES SURGERY CENTER LLC
Active
Organization
DELTA SHORES SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW LAYNE VARGAS MD (MEDICAL DIRECTOR)
(818) 855-1507
Entity
Organization
Contact information
Practice address
1805 N CALIFORNIA ST STE 405, STOCKTON, CA 95204-6033
(818) 855-1507
Mailing address
425 15TH ST UNIT 3195, MANHATTAN BEACH, CA 90266-7316
(818) 855-1507
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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