Organization
PERFORMANCE MEDICAL & REHAB CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN D. CARRICO D.C. (OWNER)
(310) 540-9699
Entity
Organization
Contact information
Practice address
6800 INDIANA AVE., #120, RIVERSIDE, CA 92506
(714) 740-1778
Mailing address
21707 HAWTHORNE BLVD., SUITE 201, TORRANCE, CA 90503-7010
(310) 540-9699
(310) 540-9486
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
12/22/2008
Last updated
12/22/2008
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