Performance Health Medical Group, Inc
LBN: Performance Health Medical Group, Inc
Performance Health Medical Group, Inc is an health care organization with primary practice located at 25431 Cabot Rd Suite 118, Laguna Hills CA 92653-5518. The organization recently has 5 registered licenses in different health care specialties including Chiropractic Providers / Rehabilitation, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Physician Assistants & Advanced Practice Nursing Providers / Medical. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Performance Health Medical Group, Inc can be contacted via phone (949) 362-8877, or through Carrico, Brian D via phone (949) 362-8877.
Contact Information
Primary practice address
25431 Cabot Rd Suite 118
Laguna Hills CA 92653-5518
Phone: (949) 362-8877
Fax: (949) 598-8042
Website:
Authorized official contact:
Name: Carrico, Brian D Doctor of Chiropractic (DC)
Phone: (949) 362-8877
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Rehabilitation | 111NR0400X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X |
Profile Details
| NPI number | 1093896862 |
|---|---|
| LBN Legal business name | Performance Health Medical Group, Inc |
| DBA Doing business as | |
| Authorized official | Carrico, Brian D Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 18th, 2006 |
| Last updated | Mar 25th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093896862 | NPPES |
| California | Other | 120115601 | GROUP |
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