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VICI PERFORMANCE LLC
NPI 1396478707
Clinic/Center - Recovery Care in Agoura Hills, CA

Active since July 03, 2022
28631 CANWOOD ST, AGOURA HILLS, CA 91301(818) 923-7555 Get Directions Write a Review

NPPES record last updated: July 10, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Vici Performance Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VICI PERFORMANCE LLC (NPI 1396478707) is a healthcare organization registered as a recovery care in Agoura Hills, California and active in the NPI registry since July 2022. The organization lists Raul Miranda, Founder, as its authorized official.

NPPES Registry Identity

NPI1396478707
Entity TypeOrganization
Primary Taxonomy261QR0800X
Legal Business NameVICI PERFORMANCE LLC
Location Address28631 CANWOOD STAgoura Hills, CA 91301-3213
Mailing Address28631 Canwood StAgoura Hills, CA 91301-3213 · (818) 923-7555
Phone(818) 923-7555
Organization SubpartNo
Authorized OfficialRaul MirandaFounder · (805) 760-2700
Enumeration DateJuly 3, 2022
Last NPPES UpdateJuly 10, 2022
NPPES CertifiedJuly 10, 2022
✔ NPI 1396478707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Recovery CareAmbulatory Health Care Facilities
Taxonomy Code261QR0800X
28631 CANWOOD ST, Agoura Hills, CA 91301
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vici Performance LLC's NPI number?

The NPI number for Vici Performance LLC is 1396478707. It was assigned to this organization in the NPPES registry on July 3, 2022.

Where is Vici Performance LLC located?

Vici Performance LLC is located at 28631 Canwood St, Agoura Hills, CA 91301. The listed phone number is (818) 923-7555.

What is Vici Performance LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Recovery Care, with taxonomy code 261QR0800X.

When was this NPI record last updated?

The NPPES record for Vici Performance LLC was last updated on July 10, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.