Performance Medical Group

NPI #1629314661 in Apple Valley, California

Provider Information

NPI Number: 1629314661
Entity Type: Organization
Organization Name: Performance Medical Group
Primary Specialty: General Practice
Enumeration Date: Dec 19, 2012
Last Updated: Dec 19, 2012

Practice Location

Address: 16130 KOKANEE RD STE 101
City: Apple Valley
State: California
ZIP Code: 92307-0833
Phone: (760) 242-5055

Authorized Official

Name: LEE FREIRE
Title: OFFICE MANAGER
Phone: (760) 242-5055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X
Anesthesiology - Pain Medicine — Pain Medicine	207LP2900X
Orthopaedic Surgery	207X00000X
Orthopaedic Surgery - Hand Surgery — Hand Surgery	207XS0106X
Orthopaedic Surgery - Foot and Ankle Surgery — Foot and Ankle Surgery	207XX0004X
Physical Medicine & Rehabilitation	208100000X
Physical Therapist	225100000X
General Practice	208D00000X	Primary

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