Organization
MVP SPORTS TECHNOLOGIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE CUSI (CFO)
(949) 215-8941
Entity
Organization
Contact information
Practice address
23602 VIA FABRICANTE, MISSION VIEJO, CA 92691-3143
(949) 215-8941
Mailing address
23602 VIA FABRICANTE, MISSION VIEJO, CA 92691-3143
(949) 215-8941
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
30062
CA
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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