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NPI Code Detail

MEDICARE: PRIME PERFORMANCE HEALTH D.B.A. HITTING THE RIGHT NOTE

MEDICARE: PRIME PERFORMANCE HEALTH D.B.A. HITTING THE RIGHT NOTE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0855XAdolescent and Children Mental Health Clinic/Center
2251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1194114959
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRIME PERFORMANCE HEALTH D.B.A. HITTING THE RIGHT NOTE
Provider Business Mailing Address
First Line : 1218 E BROADWAY
Second Line : SUITE 307
City : LONG BEACH
State : CA
Zip : 90802-3639
Country : US
Telephone Number : 562-230-0960
Fax Number :
Provider Business Practice Location Address
First Line : 2600 N CENTRAL AVE
Second Line :
City : COMPTON
State : CA
Zip : 90222-1640
Country : US
Telephone Number : 562-230-0960
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MS. ANGELA MCAFEE
Credential :
Telephone Number : 562-230-0960
Provider Enumeration Date : 01/16/2015
Last Update Date : 01/16/2015

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Directions to “PRIME PERFORMANCE HEALTH D.B.A. HITTING THE RIGHT NOTE ” Practice Location

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