Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
ACTIVE HEALTHCARE MEDICAL GROUP INC
Active
Organization
ACTIVE HEALTHCARE MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIGUEL DOMINGO MD (MEDICAL DIRECTOR)
(626) 337-2888
Entity
Organization
Contact information
Practice address
512 S GLENDORA AVE, WEST COVINA, CA 91790-3022
(626) 337-2888
Mailing address
512 S GLENDORA AVE, WEST COVINA, CA 91790-3022
(626) 337-2888
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
11/08/2007
Last updated
03/11/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers