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PERFORMANCE MEDICAL & REHAB CENTER NPI 1154577195


NPI Information

NPI: 1154577195
Provider Name: PERFORMANCE MEDICAL & REHAB CENTER
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
13252 GARDEN GROVE BLVD.
SUITE 112
GARDEN GROVE, CA
ZIP 92843
Phone: (714) 740-1778
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PERFORMANCE MEDICAL & REHAB CENTER is an internal medicine in Garden Grove, CA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. PERFORMANCE MEDICAL & REHAB CENTER NPI is 1154577195. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13252 GARDEN GROVE BLVD.
SUITE 112
GARDEN GROVE, CA
ZIP 92843
Phone: (714) 740-1778
Fax: (714) 740-1913

The provider's authorized official is Brian D. Camico .
The authorized official title is Owner and has the following contact phone number (310) 540-9699.

The enumeration date for this NPI number is 8/11/2008 and was last updated on 8/11/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111NR0400XChiropractorRehabilitationNo
2207Q00000XFamily MedicineNo
3207R00000XInternal MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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