PERFORMANCE BOOST CENTER, LLC – NPI #1295376689
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

PERFORMANCE BOOST CENTER, LLC is an AHC clinic located in NEWPORT BEACH, CA. NPPES has assigned the NPI number 1295376689 to PERFORMANCE BOOST CENTER, LLC on October 07, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PERFORMANCE BOOST CENTER, LLC below.

NPI Profile for
PERFORMANCE BOOST CENTER, LLC

NPI Number
1295376689
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PERFORMANCE BOOST CENTER, LLC
Primary location
1501 SUPERIOR AVE STE 304
NEWPORT BEACH, CA 92663-3641
Phone: (949) 612-7811 Fax: (848) 612-7822
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DEAN GLASSMAN
OWNER
Phone: (626) 388-0700
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.