Organization · NPI-2

Active Health LLC

Internal Medicine · Ashburn, VA

NPI number1215812458
StatusActive
Last updated in NPPESAug 11, 2026

Details

NPI
1215812458
Entity type
Organization (NPI-2)
Legal business name
Active Health LLC
Organization subpart
No
Enumeration date
Aug 7, 2025
Certification date
Aug 11, 2026
Last updated
Aug 11, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes

Practice location

44121 Leesburg Pike Ste 285
Ashburn, VA 20147-5673

Phone 571-918-0119 · Fax 888-507-4671

Mailing address

42653 Willow Bend Dr
Brambleton, VA 20148-6884

Phone 571-918-0119 · Fax 888-507-4671

Other practice locations

42653 Willow Bend Dr
Brambleton, VA 20148-6884

Phone 347-282-6863 · Fax 888-507-4671

Authorized official

Emerencienne Deungwe Yonga
Owner / Authorized Official
5719180119

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