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Organization
COMPLETE PERFORMANCE SPORTS MEDICINE AND LONGEVITY CENTER, INC
Active
Organization
COMPLETE PERFORMANCE SPORTS MEDICINE AND LONGEVITY CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS ALVAREZ (OWNER)
(805) 777-7003
Entity
Organization
Contact information
Practice address
101 HODENCAMP RD, THOUSAND OAKS, CA 91360-5836
(805) 777-7003
(805) 777-7043
Mailing address
101 HODENCAMP RD, THOUSAND OAKS, CA 91360-5836
(805) 777-7003
(805) 777-7043
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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