Organization
ATIVA LLC
Active
Other names
Ativa Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN PAN (VP OPERATIONS)
(949) 225-2188
Entity
Organization
Contact information
Practice address
18022 COWAN STE 215, IRVINE, CA 92614-6849
(949) 225-2188
(949) 225-2187
Mailing address
18022 COWAN STE 215, IRVINE, CA 92614-6849
(949) 225-2188
(949) 225-2187
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
IN PROCESS
CA
Other
Enumeration date
04/01/2015
Last updated
09/12/2018
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