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Organization

ACTIVECARERX PROVIDERS, LLC

Active
Other names
None Applicable
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JASON CARAMANIS (OWNER)
(818) 512-1991
Entity
Organization

Contact information

Practice address
4504 SAN BLAS AVE, WOODLAND HILLS, CA 91364-5429
(818) 512-1991
(818) 592-0494
Mailing address
4504 SAN BLAS AVE, WOODLAND HILLS, CA 91364-5429
(818) 512-1991
(818) 592-0494

Taxonomy

Speciality
Code
Description
License number
State
261QP0904X
Federal Public Health Clinic/Center
Primary

Other

Enumeration date
09/16/2014
Last updated
09/16/2014
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