| Activecarerx Providers, Llc | |
|
4504 San Blas Ave Woodland Hills CA 91364-5429 | |
| (818) 512-1991 | |
| (818) 592-0494 |
| Full Name | Activecarerx Providers, Llc |
|---|---|
| Speciality | Clinic/center - Public Health, Federal |
| Location | 4504 San Blas Ave, Woodland Hills, California |
| Authorized Official Name and Position | Jason Caramanis (OWNER) |
| Authorized Official Contact | 8185121991 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Activecarerx Providers, Llc 4504 San Blas Ave Woodland Hills CA 91364-5429 Ph: (818) 512-1991 | Activecarerx Providers, Llc 4504 San Blas Ave Woodland Hills CA 91364-5429 Ph: (818) 512-1991 |
| NPI Number | 1871995357 |
|---|---|
| Provider Enumeration Date | 09/16/2014 |
| Last Update Date | 09/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871995357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0904X | Clinic/center - Public Health, Federal | (* (Not Available)) | Primary |
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