OrganizationActive
111 Fashion Lane LLC
NPI 1265006258 · Adult Day Care Clinic/Center · Tustin, CA
Provider details
- NPI number
- 1265006258
- Entity type
- Organization
- Primary specialty
- Adult Day Care Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Agnes Sinclair, Manager
Practice location
111 Fashion Ln
Tustin, CA 92780-3306
Phone: (714) 619-8636
Fax: (866) 646-1488
Mailing address
111 Fashion Ln
Tustin, CA 92780-3306
Registry dates
- Enumerated
- 2021-05-14
- Last updated
- 2021-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.