# ACTIVEMED INTEGRATIVE HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NCIAC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578799854
- **Authorized official:** MATT ALAVI LAC (OWNER)
- **Authorized official phone:** (858) 673-4400

## Contact information

- **Practice address:** 317 N EL CAMINO REAL STE 306, ENCINITAS, CA 92024-2814
- **Practice address phone:** (858) 673-4400
- **Practice address fax:** (858) 673-4499
- **Mailing address:** 15611 POMERADO RD \# 100SW, POWAY, CA 92064-2437
- **Mailing address phone:** (858) 673-4400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | NULL | Yes |
| 171100000X | Acupuncturist | — | — | Yes |

## Other

- **Enumeration date:** 06/01/2009
- **Last updated:** 12/13/2021