OrganizationActive
Activehealthrx, Inc
NPI 1437592417 · Health Service Clinic/Center · Beverly Hills, CA
Provider details
- NPI number
- 1437592417
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ian Lichtwardt, Director(310) 741-7799
- License
- CPT54625 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Technologists, Technicians & Other Technical Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8500 Wilshire Blvd
Ph
Beverly Hills, CA 90211-3121
Phone: (310) 652-0085
Fax: (866) 390-0007
Street-level locationGet directions
Mailing address
8500 Wilshire Blvd
Beverly Hills, CA 90211-3121
Registry dates
- Enumerated
- 2013-04-09
- Last updated
- 2013-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.