Provider Demographics
NPI:1356917272
Name:LAGUNA HEALTH, INC
Entity type:Organization
Organization Name:LAGUNA HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:YONI
Authorized Official - Middle Name:
Authorized Official - Last Name:SHTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-955-9556
Mailing Address - Street 1:100 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-5516
Mailing Address - Country:US
Mailing Address - Phone:833-709-0314
Mailing Address - Fax:833-504-1400
Practice Address - Street 1:115 E DEL MAR BLVD UNIT 108
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-2568
Practice Address - Country:US
Practice Address - Phone:833-709-0314
Practice Address - Fax:833-504-1400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-01
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management