Organization
SHAKA SURF CLUB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE SALINAS (CO-OWNER)
(818) 584-6290
Entity
Organization
Contact information
Practice address
26565 AGOURA RD STE 200, CALABASAS, CA 91302-1990
(818) 584-6290
(888) 222-1042
Mailing address
26565 AGOURA RD STE 200, CALABASAS, CA 91302-1990
(818) 584-6290
(888) 222-1042
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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