Genesis Sports Performance Inc

LBN: Genesis Sports Performance Inc
Genesis Sports Performance Inc is an health care organization with primary practice located at 22600 Lambert St Ste 1204F , Lake Forest CA 92630-1623. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Genesis Sports Performance Inc can be contacted via phone (949) 838-6686, or through Campbell, Lisa via phone (949) 838-6686.

Contact Information

Primary practice address
22600 Lambert St Ste 1204F Lake Forest CA 92630-1623
Phone: (949) 838-6686
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Campbell, Lisa Physical Therapist (PT)
Phone: (949) 838-6686

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1679126320
LBN Legal business name Genesis Sports Performance Inc
DBA Doing business as
Authorized official Campbell, Lisa Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2019
Last updated Jul 22nd, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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