Performance Health Medical Group
NPI #1750622577 in Laguna Hills, California
Provider Information
- NPI Number
- 1750622577
- Entity Type
- Organization
- Organization Name
- Performance Health Medical Group
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MEDVANTX, INC.
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Mar 4, 2013
- Last Updated
- Mar 4, 2013
Practice Location
- Address
- 25431 CABOT RD
- Address 2
- SUITE 118
- City
- Laguna Hills
- State
- California
- ZIP Code
- 92653-5518
- Phone
- (949) 287-4559
Authorized Official
- Name
- KENNY HEINE
- Title
- VP OF OPERATIONS
- Phone
- (858) 964-1506
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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