Active Life Wound Clinic

LBN: Active Life Wound Clinic
Active Life Wound Clinic is an health care organization with primary practice located at 2 Scripps Dr Ste 202 , Sacramento CA 95825-6207. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is the primary health care specialty. Active Life Wound Clinic can be contacted via phone (916) 436-3015, or through Souza, Jeff via phone (916) 436-3015.

Contact Information

Primary practice address
2 Scripps Dr Ste 202 Sacramento CA 95825-6207
Phone: (916) 436-3015
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Souza, Jeff
Phone: (916) 436-3015

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1801253323
LBN Legal business name Active Life Wound Clinic
DBA Doing business as
Authorized official Souza, Jeff
Entity Organization
Organization subpart 1 No
Enumeration date Jan 28th, 2016
Last updated Jun 27th, 2024 - about last year

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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