| Vanguard Performance | |
|
2901 Cleveland Ave Ste 202 Santa Rosa CA 95403-2788 | |
| (707) 968-1555 | |
| (844) 426-0134 |
| Full Name | Vanguard Performance |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2901 Cleveland Ave Ste 202, Santa Rosa, California |
| Authorized Official Name and Position | Ben Pahlavan (OWNER) |
| Authorized Official Contact | 7073385927 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vanguard Performance 2901 Cleveland Ave Ste 103 Santa Rosa CA 95403-2788 Ph: (707) 338-5927 | Vanguard Performance 2901 Cleveland Ave Ste 202 Santa Rosa CA 95403-2788 Ph: (707) 968-1555 |
| NPI Number | 1063249282 |
|---|---|
| Provider Enumeration Date | 09/19/2024 |
| Last Update Date | 09/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063249282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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