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Organization
OCTIVA HEALTHCARE
Active
Organization
OCTIVA HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CODY HALL (CEO)
(323) 590-9128
Entity
Organization
Contact information
Practice address
12566 VALLEY VIEW ST, GARDEN GROVE, CA 92846-4138
(704) 617-8535
Mailing address
2523 PLAMA VISTA AVE, LAS VEGAS, NV 89121
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/07/2021
Last updated
03/04/2022
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