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Organization
COMMUNITY PERFORMANCERX MSO, LLC
Active
Organization
COMMUNITY PERFORMANCERX MSO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL VOLPE (AUTHORIZED REPRESENTATIVE)
(949) 313-6470
Entity
Organization
Contact information
Practice address
9701 JERONIMO RD, SUITE 300, IRVINE, CA 92618-2076
(800) 960-8147
Mailing address
9701 JERONIMO RD, SUITE 300, IRVINE, CA 92618-2076
(800) 960-8147
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
NULL
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
NULL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
251B00000X
Case Management Agency
Primary
—
NULL
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
364S00000X
Clinical Nurse Specialist
—
NULL
364S00000X
Clinical Nurse Specialist
—
—
364SC2300X
Chronic Care Clinical Nurse Specialist
—
NULL
364SC2300X
Chronic Care Clinical Nurse Specialist
—
—
Other
Enumeration date
07/21/2016
Last updated
09/18/2018
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