| Performance Boost Center, Llc | |
|
1501 Superior Ave Ste 304 Newport Beach CA 92663-3641 | |
| (949) 612-7811 | |
| (848) 612-7822 |
| Full Name | Performance Boost Center, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1501 Superior Ave Ste 304, Newport Beach, California |
| Authorized Official Name and Position | Dean Glassman (OWNER) |
| Authorized Official Contact | 6263880700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Performance Boost Center, Llc 1501 Superior Ave Ste 304 Newport Beach CA 92663-3641 Ph: (949) 612-7811 | Performance Boost Center, Llc 1501 Superior Ave Ste 304 Newport Beach CA 92663-3641 Ph: (949) 612-7811 |
| NPI Number | 1295376689 |
|---|---|
| Provider Enumeration Date | 10/07/2019 |
| Last Update Date | 10/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295376689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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