NPI 1750622577
Performance Health Medical Group
Practice location
- Address
- 25431 Cabot Rd Suite 118, Laguna Hills, CA 92653-5518
- Phone
- (949) 287-4559
- Mailing address
- 5626 Oberlin Dr Suite 110, San Diego, CA 92121-1705
Authorised official
- Name
- Kenny Heine
- Title
- Vp of Operations
- Phone
- (858) 964-1506
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1750622577
- Entity type
- Organization
- NPI issued
- 4 Mar 2013
- Record last updated
- 4 Mar 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.