Organization · Type 2 NPI
Proactivehealthllc
Clinic/Center · Tustin, CA
NPI number
1083584023
Active
Practice location
17601 17th St Ste 120
Tustin, CA 92780-1946
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: 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).
Another provider at this address
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About NPI 1083584023
Proactivehealthllc's National Provider Identifier is 1083584023, issued on Nov 6, 2025. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Tustin, CA. The record was last updated on Nov 6, 2025.