Organization
SPECTRUM HEALTH ALLIANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD LAZATIN (PRESIDENT)
(949) 233-5491
Entity
Organization
Contact information
Practice address
23052 ALICIA PKWY # H495, MISSION VIEJO, CA 92692-1643
(949) 233-5491
(949) 743-2377
Mailing address
23052 ALICIA PKWY # H495, MISSION VIEJO, CA 92692-1643
(949) 233-5491
(949) 743-2377
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
CA
Other
Enumeration date
02/24/2012
Last updated
02/24/2012
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