| Performance Health Medical Group | |
|
13252 Garden Grove Blvd Suite 112 Garden Grove CA 92843-2204 | |
| (714) 740-1778 | |
| (714) 740-1913 |
| Full Name | Performance Health Medical Group |
|---|---|
| Speciality | Chiropractor - Rehabilitation |
| Location | 13252 Garden Grove Blvd, Garden Grove, California |
| Authorized Official Name and Position | Brian D Carrico (OWNER) |
| Authorized Official Contact | 3105409699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Performance Health Medical Group 21707 Hawthorne Blvd Ste 201 Torrance CA 90503 Ph: (310) 540-9699 | Performance Health Medical Group 13252 Garden Grove Blvd Suite 112 Garden Grove CA 92843-2204 Ph: (714) 740-1778 |
| NPI Number | 1174660161 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 04/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174660161 | NPI | - | NPPES |
| W18860A | Other | CA | MEDICARE |
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