Performance Rehab Wellness Center

LBN: Performance Rehab Wellness Center
Performance Rehab Wellness Center is an health care organization with primary practice located at 12389 San Ysidro St , Victorville CA 92392-6623. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Performance Rehab Wellness Center can be contacted via phone (760) 490-4524, or through David, Hazel Nikki Mangaoang via phone (760) 490-4524.

Contact Information

Primary practice address
12389 San Ysidro St Victorville CA 92392-6623
Phone: (760) 490-4524
Fax: (760) 927-3268
Website:
Map and Directions
Authorized official contact:
Name: David, Hazel Nikki Mangaoang
Phone: (760) 490-4524

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1902210644
LBN Legal business name Performance Rehab Wellness Center
DBA Doing business as
Authorized official David, Hazel Nikki Mangaoang
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2014
Last updated Jun 19th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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