Active Healthcare Medical Group Inc

LBN: Active Healthcare Medical Group Inc
Active Healthcare Medical Group Inc is an health care organization with primary practice located at 512 S Glendora Ave , West Covina CA 91790-3022. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Active Healthcare Medical Group Inc can be contacted via phone (626) 337-2888, or through Domingo, Miguel via phone (626) 337-2888.

Contact Information

Primary practice address
512 S Glendora Ave West Covina CA 91790-3022
Phone: (626) 337-2888
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Domingo, Miguel Doctor of Medicine (MD)
Phone: (626) 337-2888

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1699955575
LBN Legal business name Active Healthcare Medical Group Inc
DBA Doing business as
Authorized official Domingo, Miguel Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2007
Last updated Mar 11th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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