ACTIVE LIFE HEALTHCARE , NPI 1023254653
Clinic/Center in SAN CLEMENTE, CA
Last Updated on : Mar 01,2012
About ACTIVE LIFE HEALTHCARE (NPI 1023254653)
ACTIVE LIFE HEALTHCARE (COPPOLA CHIROPRACTIC INC.) is a Clinic/Center in SAN CLEMENTE, United States .
1023254653 is NPI number of ACTIVE LIFE HEALTHCARE.
ACTIVE LIFE HEALTHCARE's primary taxonomy code based on NPI Lookup is 261Q00000X with license number DC 30393. This taxonomy code refers to Clinic/Center.
ACTIVE LIFE HEALTHCARE current practice location address is 380 CAMINO DE ESTRELLA, SAN CLEMENTE, CA. ACTIVE LIFE HEALTHCARE can be reached out via phone at 949-487-1231 .
You can also correspond with ACTIVE LIFE HEALTHCARE through mail at mailing address 380 CAMINO DE ESTRELLA, SAN CLEMENTE, CA, United States. Mailing address contact number is 949-487-1231.
The enumeration date of ACTIVE LIFE HEALTHCARE is 03-Jan-2009. The provider is registered as an Organization and the NPI record was last updated 11 years ago. The authorized official of ACTIVE LIFE HEALTHCARE is Michael Coppola (President). Michael Coppola can be reached at 9494871231.1023254653 NPI Information
Basic NPI information of ACTIVE LIFE HEALTHCARE (NPI 1023254653) is provided below.
| Name | ACTIVE LIFE HEALTHCARE |
|---|---|
| National Provider Id (NPI) | 1023254653 |
| Entity Type | Organization |
| Practice Address | 380 CAMINO DE ESTRELLA,
SAN CLEMENTE, CA, United States |
| Practice Telephone | 949-487-1231 |
| Practice Fax Number | |
| Mailing Address | 380 CAMINO DE ESTRELLA ,
SAN CLEMENTE, CA, United States |
| Mailing Telephone | 949-487-1231 |
| Mailing Fax Number | |
| Enumeration Date | 03-Jan-2009 |
| Last Updated Date | 01-Mar-2012 |
ACTIVE LIFE HEALTHCARE (NPI 1023254653) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | DC 30393 | CA |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
ACTIVE LIFE HEALTHCARE (NPI 1023254653) Office Location
Office location of ACTIVE LIFE HEALTHCARE is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1528046430 | LAWRENCE CHUNG-LUN CHANG | Internal Medicine | 665 CAMINO DE LOS MARES,
SUITE 301 SAN CLEMENTE, CA, United States |
03-Jan-2006 |
| 1144641697 | CHAD MICHAEL ALLRED | Dentist, Orthodontics and Dentofacial Orthopedics | 240 AVENIDA VISTA MONTANA,
06 R SAN CLEMENTE, CA, United States |
01-Jan-2014 |
| 1689978876 | KIRA MILNER | Physical Therapist | 1632 VISTA LUNA,
SAN CLEMENTE, CA, United States |
02-Jan-2011 |
| 1659641348 | SUSAN RS PARMELEE | Social Worker, Clinical | 700 AVENIDA PICO,
SAN CLEMENTE, CA, United States |
11-Jan-2012 |
| 1982092763 | SHOURA KHATIBLOO | Psychoanalyst | 28 CALLE SALTAMONTES,
SAN CLEMENTE, CA, United States |
02-Jan-2015 |
| 1023254653 | COPPOLA CHIROPRACTIC INC. | Clinic/Center | 380 CAMINO DE ESTRELLA,
SAN CLEMENTE, CA, United States |
03-Jan-2009 |
| 1639409329 | CHRISTINE KATHERINE HROUNTAS | Obstetrics & Gynecology | 1303 AVENIDA DE VERDES,
SAN CLEMENTE, CA, United States |
03-Jan-2010 |
| 1043631336 | GWENDOLYN BELLEZZA | Speech-Language Pathologist, | 25 POPPYFIELD LN,
RANCHO SANTA MARGARITA, CA, United States |
03-Jan-2014 |
| 1508287806 | LIANNE NAHINA PFISTER | Speech-Language Pathologist, | 33871 CALLE CONEJO,
SAN JUAN CAPISTRANO, CA, United States |
04-Jan-2014 |
| 1720135346 | GREG A BROWN | Internal Medicine | 655 CAMINO DE LOS MARES,
SUITE 124 SAN CLEMENTE, CA, United States |
04-Jan-2007 |
| 1316925761 | MARAYA A. ALTUWAIJRI | Surgery, Vascular Surgery | 675 CAMINO DE LOS MARES,
SUITE 403 SAN CLEMENTE, CA, United States |
05-Jan-2006 |
| 1730167057 | GRANT ADAM KIDD | General Practice | 101 THE CITY DR S,
ORANGE, CA, United States |
06-Jan-2006 |
| 1851448112 | SUHA NEWHIDE | Pediatrics, Neonatal-Perinatal Medicine | PO BOX 1359,
SAN CLEMENTE, CA, United States |
05-Jan-2007 |
| 1194113704 | NICHOLAS EVERETT WILKINSON | Physical Therapy Assistant | PO BOX 73993,
SAN CLEMENTE, CA, United States |
05-Jan-2015 |
| 1801071139 | EMILY KAY VALENZUELA | Acupuncturist | 31897 DEL OBISPO ST,
SUITE 200 SAN JUAN CAPISTRANO, CA, United States |
06-Jan-2008 |
| 1093019911 | RICK ABELSON | Optometrist | 806 AVENIDA PICO STE H,
SAN CLEMENTE, CA, United States |
06-Jan-2011 |
| 1194703249 | LOUISE CATHERINE YEILDING | Marriage & Family Therapist | 1617 S OLA VIS,
SAN CLEMENTE, CA, United States |
07-Jan-2006 |
| 1275770661 | RENEE SUE POZZA | Registered Nurse | 675 CAMINO DE LOS MARES,
SUITE 210 SAN CLEMENTE, CA, United States |
07-Jan-2009 |
| 1619333564 | SOVEREIGN HEALTH OF TEXAS | Substance Abuse Rehabilitation Facility | 1211 PUERTA DEL SOL,
SUITE 200 SAN CLEMENTE, CA, United States |
07-Jan-2016 |
| 1700935814 | THIEUHA TUAN HOANG | Clinic/Center | PO BOX 128,
E-47 MEDICAL SAN CLEMENTE, CA, United States |
09-Jan-2007 |
How to check whether NPI 1063496693 is valid?
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FAQs
Whose NPI Number is 1023254653?1023254653 is the NPI number of ACTIVE LIFE HEALTHCARE.
Where is ACTIVE LIFE HEALTHCARE located?ACTIVE LIFE HEALTHCARE is located at 380 CAMINO DE ESTRELLA, SAN CLEMENTE, CA.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
|