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NPI 1194153395

OrganizationActive

Activecarerx Holdings, LLC

NPI 1194153395 · Clinic/Center · Newport Beach, CA

Provider details

NPI number: 1194153395
Entity type: Organization
Primary specialty: Clinic/CenterAmbulatory Health Care Facilities
Authorized official: Idris Clark, Managing Partner

Practice location

1301 Dove St

Suite 800

Newport Beach, CA 92660-2412

Phone: (949) 757-0576

Fax: (949) 757-1056

More CA providers

Mailing address

1301 Dove St

Newport Beach, CA 92660-2412

Registry dates

Enumerated: 2013-10-24
Last updated: 2013-10-24

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Activecarerx Holdings, LLC — NPI 1194153395, Newport Beach, CA | NPI Central