Activecarerx Providers, LLC

NPI #1871995357 in Woodland Hills, California

Provider Information

NPI Number: 1871995357
Entity Type: Organization
Organization Name: Activecarerx Providers, LLC
Primary Specialty: Clinic/Center - Public Health, Federal
Enumeration Date: Sep 16, 2014
Last Updated: Sep 16, 2014

Practice Location

Address: 4504 SAN BLAS AVE
City: Woodland Hills
State: California
ZIP Code: 91364-5429
Phone: (818) 512-1991

Authorized Official

Name: MR. JASON CARAMANIS
Title: OWNER
Phone: (818) 512-1991

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Public Health, Federal — Public Health, Federal	261QP0904X	Primary

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