Provider Demographics
NPI:1497376156
Name:PERFORMANCE MASTERY CONSULTING, INC.
Entity Type:Organization
Organization Name:PERFORMANCE MASTERY CONSULTING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:SUSAN
Authorized Official - Last Name:POSTNIKOFF
Authorized Official - Suffix:
Authorized Official - Credentials:BSPE
Authorized Official - Phone:310-910-4347
Mailing Address - Street 1:3711 W 145TH ST
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:CA
Mailing Address - Zip Code:90250-8452
Mailing Address - Country:US
Mailing Address - Phone:310-910-4347
Mailing Address - Fax:
Practice Address - Street 1:3711 W 145TH ST
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:CA
Practice Address - Zip Code:90250-8452
Practice Address - Country:US
Practice Address - Phone:310-910-4347
Practice Address - Fax:212-500-7992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-04
Last Update Date:2020-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier