OrganizationActive
Access Innovative Health
NPI 1972139103 · Health Service Clinic/Center · West Covina, CA
Provider details
- NPI number
- 1972139103
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Tony Song, Ceo
Practice location
336 1/2 S Glendora Ave Ste C
West Covina, CA 91790-3060
Phone: (626) 814-0111
Mailing address
336 1/2 S Glendora Ave Ste C
West Covina, CA 91790-3060
Registry dates
- Enumerated
- 2020-03-19
- Last updated
- 2022-12-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.