Organization
PLAYA HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOM MARTIN (CEO)
(949) 278-4262
Entity
Organization
Contact information
Practice address
2858 DRAKE AVE, COSTA MESA, CA 92626
(949) 423-6340
Mailing address
2858 DRAKE AVE, COSTA MESA, CA 92626
(949) 423-6340
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/11/2017
Last updated
07/21/2022
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