Provider Demographics
NPI:1952564890
Name:WELL FIT MANAGEMENT INC
Entity Type:Organization
Organization Name:WELL FIT MANAGEMENT INC
Other - Org Name:SYNERGY PERFORMANCE HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:RAPPAPORT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-635-0705
Mailing Address - Street 1:26361 CROWN VALLEY PKWY
Mailing Address - Street 2:SUITE 160
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-6305
Mailing Address - Country:US
Mailing Address - Phone:949-635-0705
Mailing Address - Fax:
Practice Address - Street 1:23762 MERCURY RD
Practice Address - Street 2:
Practice Address - City:LAKE FOREST
Practice Address - State:CA
Practice Address - Zip Code:92630-2828
Practice Address - Country:US
Practice Address - Phone:949-770-2271
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-09
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty