Healthcare Provider Details

I. General information

NPI: 1376350363
Provider Name (Legal Business Name): LAZER HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2024
Last Update Date: 12/13/2024
Certification Date: 12/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

919 FREEDOM BLVD
WATSONVILLE CA
95076-3804
US

IV. Provider business mailing address

919 FREEDOM BLVD
WATSONVILLE CA
95076-3804
US

V. Phone/Fax

Practice location:
  • Phone: 831-722-3581
  • Fax:
Mailing address:
  • Phone: 831-722-3581
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: ROBERT BRANDI
Title or Position: CFO
Credential:
Phone: 408-320-9897