Active Health Medical Group, Inc. is a
Pain Medicine - Interventional Pain Medicine based in San Diego, California. Active Health Medical Group, Inc. is licensed to practice in California (license number A64448) and their current practice location is
16769 Bernardo Center Dr Ste K20, San Diego, California. It can be reached at their office (for appointments etc.) via phone at
(858) 753-8090.
NPI number for Active Health Medical Group, Inc. is 1801221767 and their current mailing address is 16769 Bernardo Center Dr Ste K20, San Diego, California. Active Health Medical Group, Inc.
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1801221767.
Healthcare Provider's Profile
| Full Name | Active Health Medical Group, Inc. |
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| Type | Facility |
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| Speciality | Pain Medicine - Interventional Pain Medicine |
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| Location | 16769 Bernardo Center Dr Ste K20, San Diego, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1801221767
- Provider Enumeration Date: 09/11/2013
- Last Update Date: 09/11/2013
Medical Identifiers
Medical identifiers for Active Health Medical Group, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801221767 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | A64448 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Active Health Medical Group, Inc. is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Active Health Medical Group, Inc.
16769 Bernardo Center Dr Ste K20,
San Diego, CA 92128-2546
Ph: () - | Active Health Medical Group, Inc.
16769 Bernardo Center Dr Ste K20,
San Diego, CA 92128-2546
Ph: (858) 753-8090 |
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