PERFORMANCE HEALTH MEDICAL GROUP, INC

LAGUNA HILLS, CA
NPI1093896862
Entity TypeOrganization
Authorized ContactBRIAN D CARRICO
President
949-362-8877
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Additional Taxonomies111NR0400X 
207R00000X Internal Medicine
207X00000X Orthopaedic Surgery
363AM0700X Physician Assistant, Medical
Enumeration Date2006-10-18
Last Update Date2009-03-25
Business Address
PERFORMANCE HEALTH MEDICAL GROUP, INC
25431 CABOT RD SUITE 118
LAGUNA HILLS, CA 92653-5518
Phone number: 949-362-8877
Mailing Address
PERFORMANCE HEALTH MEDICAL GROUP, INC
25431 CABOT RD SUITE 118
LAGUNA HILLS, CA 92653-5518
Phone number: 949-362-8877