PERFORMANCE HEALTH MEDICAL GROUP
Suppliers at Cabot Rd, Laguna Beach, CA

License number
California G45164
Category
Suppliers
Type
Non-Pharmacy Dispensing Site
Owner
Name: KENNY HEINE
Title: VP OF OPERATIONS
Phone: (858) 964-1506
Address
Address 2
25431 Cabot Rd SUITE 118, Laguna Beach, CA 92653
5626 Oberlin Dr SUITE 110, San Diego, CA 92121
National Provider ID: 1750622577
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PERFORMANCE HEALTH MEDICAL GROUP at bizstanding.com

Performance Health Medical Group, Inc.

25431 Cabot Rd STE 118, Laguna Hills, CA 92653

Industry:
Health/Allied Services
Doing business as:
Performance Health Medical Group
Registration:
Nov 14, 2003
Phone:
(949) 362-9230 (Phone)
State ID:
C2559535
Business type:
Articles of Incorporation
Presidents:
Brown Hosea (President),Daniel Parker President, inactive,Hosea E. Brown President, inactive
Agent:
Calton Law Group, Pc,San Juan Capistrano, CA 92675 (Physical)

Performance Health Medical Group - George T Ricks MD

25431 Cabot Rd STE 118, Laguna Hills, CA 92653

Categories:
Physicians & Surgeons
Phone:
(949) 362-9230 (Phone)

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