Search › California › 101YA0400X
Lorenzo Shaw, RAC
NPI 1639997919 · on the registry since 2024 · sole proprietor
Practice
- Address
- 4104 Delta St
San Diego, CA 92113 - Phone
- (619) 384-6760
- Organisation at this address
- Tradition One
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 13
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-09-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California