ACTIVECARERX PROVIDERS, LLC

WOODLAND HILLS, CA
NPI1871995357
Former Legal Business NameNONE APPLICABLE
Entity TypeOrganization
Authorized ContactJASON CARAMANIS
Owner
818-512-1991
Organization Subpart ?No
Primary Taxonomy261QP0904X Clinic/Center, Public Health, Federal
Enumeration Date2014-09-16
Last Update Date2014-09-16
Business Address
ACTIVECARERX PROVIDERS, LLC
4504 SAN BLAS AVE
WOODLAND HILLS, CA 91364-5429
Phone number: 818-512-1991
Mailing Address
ACTIVECARERX PROVIDERS, LLC
4504 SAN BLAS AVE
WOODLAND HILLS, CA 91364-5429
Phone number: 818-512-1991