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Organization

ACTIVUS TRANSPORT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDWEN LOPEZ JR. (DIRECTOR OF OPERATIONS)
(619) 495-2319
Entity
Organization

Contact information

Practice address
3670 CLAIREMONT DR STE 6, SAN DIEGO, CA 92117-5960
(866) 619-4911
(619) 444-1180
Mailing address
3670 CLAIREMONT DR STE 6, SAN DIEGO, CA 92117-5960
(866) 619-4911
(619) 444-1180

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
11/24/2025
Last updated
11/24/2025
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