OrganizationActive
Action Diversified Inc.
NPI 1184103160 · Occupational Therapist · Irvine, CA
Provider details
- NPI number
- 1184103160
- Entity type
- Organization
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Michelle Bronner, President(949) 394-6587
- License
- 9591 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
65 Long Mdw
Irvine, CA 92620-2825
Phone: (949) 394-6587
Approximate (ZIP-level) locationGet directions
Mailing address
17595 Harvard Ave Ste C2230
Irvine, CA 92614-8516
Registry dates
- Enumerated
- 2018-08-09
- Last updated
- 2018-08-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.