ACTIVECARERX PROVIDERS, LLC; NPI #1871995357

Contact Information

ACTIVECARERX PROVIDERS, LLC

4504 SAN BLAS AVE
WOODLAND HILLS, CA 91364-5429

Phone: 818-512-1991
Fax: 818-592-0494
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Public Health, Federal	261QP0904X

Indicates primary specialty

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NPI Profile & details for ACTIVECARERX PROVIDERS, LLC

NPI Number	`1871995357`
LBN Legal business name	ACTIVECARERX PROVIDERS, LLC
Authorized official	JASON CARAMANIS - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	09/16/2014
Last updated	09/16/2014 - About 12 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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