<Unavail>

LBN: Vanguard Performance, Llc
<Unavail> is an health care organization with primary practice located at 2901 Cleveland Ave Ste 202 , Santa Rosa CA 95403-2788. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Vanguard Performance, Llc can be contacted via phone (707) 968-1555, or through Pahlavan, Ben via phone (707) 338-5927.

Contact Information

Primary practice address
2901 Cleveland Ave Ste 202 Santa Rosa CA 95403-2788
Phone: (707) 968-1555
Fax: (844) 426-0134
Website:
Map and Directions
Authorized official contact:
Name: Pahlavan, Ben
Phone: (707) 338-5927

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1063249282
LBN Legal business name Vanguard Performance, Llc
DBA Doing business as <Unavail>
Authorized official Pahlavan, Ben
Entity Organization
Organization subpart 1 No
Enumeration date Sep 19th, 2024
Last updated Sep 19th, 2024 - about 2 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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