Organization
ACTIVE HOME HEALTH SVC., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROMEO ANG (CFO/SECRETARY)
(714) 994-1534
Entity
Organization
Contact information
Practice address
6481 ORANGETHORPE AVE, SUITE 3, BUENA PARK, CA 90620-1376
(714) 994-1534
(714) 994-1564
Mailing address
6481 ORANGETHORPE AVE, SUITE 3, BUENA PARK, CA 90620-1376
(714) 994-1534
(714) 994-1564
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
060000943
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060000943
STATE LICENSE
CA
Enumeration date
01/09/2007
Last updated
09/08/2016
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