Active Health Medical Group, INC.
Pain Medicine, Interventional Pain Medicine in San Diego, CA. Organization (NPI-2).
NPI number1801221767
StatusActive
Last updated in NPPESSep 11, 2013
Details
- NPI
- 1801221767
- Entity type
- Organization (NPI-2)
- Legal business name
- Active Health Medical Group, INC.
- Organization subpart
- No
- Enumeration date
- Sep 11, 2013
- Last updated
- Sep 11, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | A64448 | CA | Yes |
| 111N00000X | Chiropractor | – | – |
Practice location
16769 Bernardo Center Dr Ste K20San Diego, CA 92128-2546
Phone 858-753-8090
Mailing address
16769 Bernardo Center Dr Ste K20San Diego, CA 92128-2546
Authorized official
Alex Kamsi
Chief Financial Officer
8587538090
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