Organization
VANGUARD PERFORMANCE, LLC
Active
Other names
Vanguard Performance
Organization subpart
No
Provider details
NPI number
Authorized official
BEN PAHLAVAN (OWNER)
(707) 338-5927
Entity
Organization
Contact information
Practice address
2901 CLEVELAND AVE STE 202, SANTA ROSA, CA 95403-2788
(707) 968-1555
(844) 426-0134
Mailing address
2901 CLEVELAND AVE STE 103, SANTA ROSA, CA 95403-2788
(707) 338-5927
(844) 426-0134
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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