Performance Health Medical Group in Garden Grove - Rehabilitation
Performance Health Medical Group - NPI 1174660161
Performance Health Medical Group is a Rehabilitation in Garden Grove, California. Performance Health Medical Group practices all healthcare services and medical treatments related to Rehabilitation. The NPI Number for Performance Health Medical Group is 1174660161. The last update date is 2009-04-22.
Performance Health Medical Group's current location address is 13252 Garden Grove Blvd, Garden Grove, California. You can contact this provider via phone number 7147401778 and fax number 7147401913. The mailing address for Performance Health Medical Group is 13252 Garden Grove Blvd, Garden Grove, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Performance Health Medical Group |
|---|---|
| Address | 13252 Garden Grove Blvd, Garden Grove, California |
| Phone Number | 7147401778 |
| Fax Number | 7147401913 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Carrico D Brian |
| Credentials | DC |
| Telephone Number | 3105409699 |
NPI Number Detail
| NPI Number | 1174660161 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2009-04-22 |
Provider Mailing Address Detail
| Address | 13252 Garden Grove Blvd |
|---|---|
| City | Garden Grove |
| State | California (CA) |
| Post Code | 9284322040 |
| Phone Number | 7147401778 |
| Fax Number | 7147401913 |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation |
|---|---|
| Taxonomy | 111Nr0400X |
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Definition: Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| W18860A | CA | MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Performance Health Medical Group by the Centers for Medicare & Medicaid Services?
The Performance Health Medical Group has been assigned the NPI (National Provider Identifier) 1174660161 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Performance Health Medical Group located?
The Performance Health Medical Group is located at 13252 Garden Grove Blvd, Garden Grove, CA 9284322040.
What is Performance Health Medical Group's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Performance Health Medical Group is Rehabilitation, and the taxonomy classification code that categorizes this area of expertise is 111Nr0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1174660161 to Performance Health Medical Group?
The Centers for Medicare & Medicaid Services assigned the 1174660161 to Performance Health Medical Group on 2007-01-31.
When was the Performance Health Medical Group's information last updated?
The Performance Health Medical Group's information was last updated on 2009-04-22.