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Organization
ASTIVA HEALTH INC
Active
Organization
ASTIVA HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MECHELLE REED (VP QUALITY)
(562) 454-9103
Entity
Organization
Contact information
Practice address
3200 BRISTOL ST, COSTA MESA, CA 92626-1808
(562) 454-9103
Mailing address
3200 BRISTOL ST, COSTA MESA, CA 92626-1808
(562) 454-9103
Taxonomy
Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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