Ativa LLC
Home Health in Irvine, CA. Organization (NPI-2).
NPI number1124413620
StatusActive
Last updated in NPPESSep 12, 2018
Details
- NPI
- 1124413620
- Entity type
- Organization (NPI-2)
- Legal business name
- Ativa LLC
- Organization subpart
- No
- Enumeration date
- Apr 1, 2015
- Last updated
- Sep 12, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | in process | CA | Yes |
Other names
- Ativa Home Health (Doing Business As)
Practice location
18022 Cowan Ste 215Irvine, CA 92614-6849
Phone 949-225-2188 · Fax 949-225-2187
Mailing address
18022 Cowan Ste 215Irvine, CA 92614-6849
Phone 949-225-2188 · Fax 949-225-2187
Authorized official
Marvin Pan
Vp Operations
9492252188
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