M.A.S. PERFORMANCEPHYSIO NPI 1821680174

NPI Information

  • NPI: 1821680174
  • Provider Name: M.A.S. PERFORMANCEPHYSIO
  • Classification: Preventive Medicine - 2083S0010X
  • Specialization: Sports Medicine
  • Entity Type: Organization
  • Address: 2640 WHITNEY DR
    ALHAMBRA, CA
    ZIP 91803
  • Phone: (626) 260-5015

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NPI Details

M.A.S. PERFORMANCEPHYSIO is a sports medicine preventive medicine in Alhambra, CA. The provider is a preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries. M.A.S. PERFORMANCEPHYSIO NPI is 1821680174. The provider is registered as an organization entity type.

The provider's business location address is:

2640 WHITNEY DR
ALHAMBRA, CA
ZIP 91803-429
Phone: (626) 260-5015

The provider's authorized official is Jeffrey Su .
The authorized official title is President and has the following contact phone number (626) 260-5015.

The enumeration date for this NPI number is 2/8/2021 and was last updated on 2/8/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QH0100XClinic/CenterHealth ServiceNo
2261QP2000XClinic/CenterPhysical TherapyNo
3261QR0400XClinic/CenterRehabilitationNo
42083S0010XPreventive MedicineSports 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: 11/21/2025

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