Organization
COMPLETE PERFORMANCE SPORTS MEDICINE AND LONGEVITY CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS ALVAREZ (OWNER)
(805) 777-7003
Entity
Organization
Contact information
Practice address
101 HODENCAMP RD, THOUSAND OAKS, CA 91360-5836
(805) 777-7003
(805) 777-7043
Mailing address
101 HODENCAMP RD, THOUSAND OAKS, CA 91360-5836
(805) 777-7003
(805) 777-7043
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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