Provider Demographics
NPI:1659063816
Name:LIMITLESS REHABILITATION AND PERFORMANCE
Entity Type:Organization
Organization Name:LIMITLESS REHABILITATION AND PERFORMANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:PEIG
Authorized Official - Suffix:
Authorized Official - Credentials:OTRL
Authorized Official - Phone:909-618-5309
Mailing Address - Street 1:539 BOURDET ST
Mailing Address - Street 2:
Mailing Address - City:WALNUT
Mailing Address - State:CA
Mailing Address - Zip Code:91789-2606
Mailing Address - Country:US
Mailing Address - Phone:909-618-5309
Mailing Address - Fax:
Practice Address - Street 1:6131 ORANGETHORPE AVE STE 125
Practice Address - Street 2:
Practice Address - City:BUENA PARK
Practice Address - State:CA
Practice Address - Zip Code:90620-1315
Practice Address - Country:US
Practice Address - Phone:909-618-5309
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-24
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy