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
—
—
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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