National Provider Identifier Database

ACTIVECARERX PROVIDERS LLC
Public Health, Federal


Contact Information

ACTIVECARERX PROVIDERS, LLC
4504 SAN BLAS AVE
WOODLAND HILLS, CA91364-5429
Phone: 818-512-1991
Fax: 818-592-0494
Website:
Specialty Taxonomy Code
* Public Health, Federal 261QP0904X

* Indicates primary specialty

NPI Profile & details for ACTIVECARERX PROVIDERS, LLC

NPI Number 1871995357
Legal business name
LBN
ACTIVECARERX PROVIDERS, LLC
Authorized official JASON CARAMANIS - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 09/16/2014
Last updated 09/16/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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