OrganizationActive
Vici Performance LLC
NPI 1396478707 · Recovery Care Clinic/Center · Agoura Hills, CA
Provider details
- NPI number
- 1396478707
- Entity type
- Organization
- Primary specialty
- Recovery Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Raul Miranda, Founder(805) 760-2700
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
28631 Canwood St
Agoura Hills, CA 91301-3213
Phone: (818) 923-7555
Approximate (ZIP-level) locationGet directions
Mailing address
28631 Canwood St
Agoura Hills, CA 91301-3213
Registry dates
- Enumerated
- 2022-07-03
- Last updated
- 2022-07-10
- Certified
- 2022-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.