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Organization
SHANTI OC
Active
Organization
SHANTI OC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRISHA BURKE (BOARD MEMBER)
(949) 495-0067
Entity
Organization
Contact information
Practice address
24532 LOS SERRANOS DR, LAGUNA NIGUEL, CA 92677-2125
(949) 495-0067
Mailing address
23461 S POINTE DR STE 100, LAGUNA HILLS, CA 92653-1523
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/21/2015
Last updated
08/21/2015
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