Organization
ATIVA HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAISY PAN (OWNER)
(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
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/17/2026
Last updated
02/17/2026
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