Organization
SHORELINE HEALTH LLC
Active
Other names
Shoreline Health LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERTO CHAVEZ CEO (CEO)
(949) 500-9540
Entity
Organization
Contact information
Practice address
129 43RD ST, NEWPORT BEACH, CA 92663-2927
(949) 500-9540
Mailing address
129 43RD ST, NEWPORT BEACH, CA 92663-2927
(949) 500-9540
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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