Active Restoration Llc is a
Psychologist based in Pleasant Hill, California. Active Restoration Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
2250 Morello Ave, Pleasant Hill, California. It can be reached at their office (for appointments etc.) via phone at
(925) 287-1256.
NPI number for Active Restoration Llc is 1942541669 and their current mailing address is Po Box 23163, Pleasant Hill, California. Active Restoration Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1942541669.
Healthcare Provider's Profile
| Full Name | Active Restoration Llc |
|---|
| Type | Facility |
|---|
| Speciality | Psychologist |
|---|
| Location | 2250 Morello Ave, Pleasant Hill, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1942541669
- Provider Enumeration Date: 03/05/2013
- Last Update Date: 03/05/2013
Medical Identifiers
Medical identifiers for Active Restoration Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942541669 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Active Restoration Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Active Restoration Llc
Po Box 23163,
Pleasant Hill, CA 94523-0163
Ph: (925) 287-1256 | Active Restoration Llc
2250 Morello Ave,
Pleasant Hill, CA 94523-1860
Ph: (925) 287-1256 |
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