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111 FASHION LANE LLC
NPI 1265006258
Clinic/Center - Adult Day Care in Tustin, CA

Active since May 14, 2021
111 FASHION LN, TUSTIN, CA 92780(714) 619-8636(866) 646-1488 Get Directions Write a Review

NPPES record last updated: May 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About 111 Fashion Lane Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

111 FASHION LANE LLC (NPI 1265006258) is a healthcare organization registered as an adult day care in Tustin, California and active in the NPI registry since May 2021. The organization lists Agnes Yen Sinclair, Manager, as its authorized official.

NPPES Registry Identity

NPI1265006258
Entity TypeOrganization
Primary Taxonomy261QA0600X
Legal Business Name111 FASHION LANE LLC
Location Address111 FASHION LNTustin, CA 92780-3306
Mailing Address111 Fashion LnTustin, CA 92780-3306 · (714) 619-8636 · Fax (866) 646-1488
Phone(714) 619-8636
Fax(866) 646-1488
Organization SubpartNo
Authorized OfficialAgnes Yen SinclairManager · (626) 429-9290
Enumeration DateMay 14, 2021
NPPES CertifiedMay 14, 2021
✔ NPI 1265006258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Day CareAmbulatory Health Care Facilities
Taxonomy Code261QA0600X
111 FASHION LN, Tustin, CA 92780
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 111 Fashion Lane LLC's NPI number?

The NPI number for 111 Fashion Lane LLC is 1265006258. It was assigned to this organization in the NPPES registry on May 14, 2021.

Where is 111 Fashion Lane LLC located?

111 Fashion Lane LLC is located at 111 Fashion Ln, Tustin, CA 92780. The listed phone number is (714) 619-8636.

What is 111 Fashion Lane LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

When was this NPI record last updated?

The NPPES record for 111 Fashion Lane LLC was last updated on May 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.