Organization
ACTIVCARE MED GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRODE PASCUAL MD (OWNER)
(951) 344-5023
Entity
Organization
Contact information
Practice address
7365 CARNELIAN ST STE 112, RANCHO CUCAMONGA, CA 91730-1156
(951) 344-5023
(951) 346-1281
Mailing address
7365 CARNELIAN ST STE 112, RANCHO CUCAMONGA, CA 91730-1156
(951) 344-5023
(951) 346-1281
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/08/2026
Last updated
06/08/2026
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