Organization
M.A.S. PERFORMANCEPHYSIO
Active
Other names
M.A.S. Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY SU (PRESIDENT)
(626) 260-5015
Entity
Organization
Contact information
Practice address
2640 WHITNEY DR, ALHAMBRA, CA 91803-4429
(626) 260-5015
Mailing address
2640 WHITNEY DR, ALHAMBRA, CA 91803-4429
Taxonomy
Speciality
Code
Description
License number
State
2083S0010X
Sports Medicine (Preventive Medicine) Physician
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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