Organization · Type 2 NPI

Shorecrest Legacy Group LLC

Wound Care Registered Nurse · Santa Monica, CA

NPI number 1609711894 Active

Practice location

1424 26th St Unit 1
Santa Monica, CA 90404-3059

Specialties and licenses

TaxonomyCodeLicense
Wound Care Registered Nurse Primary 163WW0000XNone listed

Wound Care Registered Nurse: Definition to come...

About NPI 1609711894

Shorecrest Legacy Group LLC's National Provider Identifier is 1609711894, issued on Apr 22, 2026. The primary taxonomy on file is Wound Care Registered Nurse (163WW0000X), and the practice location is in Santa Monica, CA. The record was last updated on Apr 22, 2026.