| Active Health LLC | |
|
44121 Leesburg Pike Ste 285 Ashburn VA 20147-5673 | |
| (571) 918-0119 | |
| (888) 507-4671 |
| Full Name | Active Health LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 44121 Leesburg Pike Ste 285, Ashburn, Virginia |
| Authorized Official Name and Position | Emerencienne Deungwe Yonga (OWNER / AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 5719180119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Active Health LLC 42653 Willow Bend Dr Brambleton VA 20148-6884 Ph: (571) 918-0119 | Active Health LLC 44121 Leesburg Pike Ste 285 Ashburn VA 20147-5673 Ph: (571) 918-0119 |
| NPI Number | 1215812458 |
|---|---|
| Provider Enumeration Date | 08/07/2025 |
| Last Update Date | 08/11/2026 |
| Certification Date | 08/11/2026 |
| Medicare PECOS PAC ID | 9436622388 |
|---|---|
| Medicare Enrollment ID | O20260623002680 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215812458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| Provider Name | Emerencienne D Yonga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205093705 PECOS PAC ID: 6507927340 Enrollment ID: I20120706000021 |
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