Performance Health Medical Group

LBN: Performance Health Medical Group
Performance Health Medical Group is an health care organization with primary practice located at 13252 Garden Grove Blvd Suite 112, Garden Grove CA 92843-2204. The organization recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Rehabilitation, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Chiropractic Providers / Rehabilitation is the primary health care specialty. Performance Health Medical Group can be contacted via phone (714) 740-1778, or through Carrico, Brian D via phone (310) 540-9699.

Contact Information

Primary practice address
13252 Garden Grove Blvd Suite 112 Garden Grove CA 92843-2204
Phone: (714) 740-1778
Fax: (714) 740-1913
Website:
Map and Directions
Authorized official contact:
Name: Carrico, Brian D Doctor of Chiropractic (DC)
Phone: (310) 540-9699

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Rehabilitation 111NR0400X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1174660161
LBN Legal business name Performance Health Medical Group
DBA Doing business as
Authorized official Carrico, Brian D Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2007
Last updated Apr 22nd, 2009 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174660161 NPPES
California Other W18860A MEDICARE

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