Performance Health Medical Group

LBN: Performance Health Medical Group
Performance Health Medical Group is an health care organization with primary practice located at 25431 Cabot Rd Suite 118, Laguna Hills CA 92653-5518. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Performance Health Medical Group can be contacted via phone (949) 287-4559, or through Heine, Kenny via phone (858) 964-1506.

Contact Information

Primary practice address
25431 Cabot Rd Suite 118 Laguna Hills CA 92653-5518
Phone: (949) 287-4559
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Heine, Kenny
Phone: (858) 964-1506

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X G45164 California

Profile Details

NPI number 1750622577
LBN Legal business name Performance Health Medical Group
DBA Doing business as Performance Health Medical Group
Authorized official Heine, Kenny
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 4th, 2013
Last updated Mar 4th, 2013 - about 12 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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