Performance Care Sports Medicine & Rehabilitation Center, Inc. | |
10738 Riverside Drive, Suite A, Toluca Lake, CA 91602-2372 | |
(818) 766-4307 | |
(818) 766-4309 |
Full Name | Performance Care Sports Medicine & Rehabilitation Center, Inc. |
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Type | Facility |
Speciality | Internal Medicine |
Location | 10738 Riverside Drive, Suite A, Toluca Lake, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1487880399 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | DC25362 (California) | Secondary |
207R00000X | Internal Medicine | A42627 (California) | Primary |
Provider Name | Golan Nissim |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1932270147 PECOS PAC ID: 2365402906 Enrollment ID: I20041019000624 |
Provider Name | Jeko Behfarin |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1689686875 PECOS PAC ID: 0941217228 Enrollment ID: I20060310000435 |
Provider Name | Zachary Ray |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1174853162 PECOS PAC ID: 3072658541 Enrollment ID: I20100309000090 |
Provider Name | Parham Tabloei |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1386070175 PECOS PAC ID: 3577781913 Enrollment ID: I20140827001825 |
Provider Name | Laura K Wilson |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1558537977 PECOS PAC ID: 1951324987 Enrollment ID: I20200504000879 |
Mailing Address | Practice Location Address |
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Performance Care Sports Medicine & Rehabilitation Center, Inc. 10738 Riverside Dr Ste A, Toluca Lake, CA 91602-2372 Ph: (818) 766-4307 | Performance Care Sports Medicine & Rehabilitation Center, Inc. 10738 Riverside Drive, Suite A, Toluca Lake, CA 91602-2372 Ph: (818) 766-4307 |