NPI 1942541669 · live from the CMS NPI Registry
Active Restoration LLC
Psychologist in Pleasant Hill, CA. National Provider Identifier 1942541669, active.
NPI record
| NPI | 1942541669 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 2250 Morello Ave, Pleasant Hill, CA 94523 |
| Practice phone | 925-287-1256 |
| Mailing address | Po Box 23163, Pleasant Hill, CA 94523 |
| Enumerated | March 5, 2013 |
| Last updated | March 5, 2013 |
| Authorized official | Gavin Westberg, Director Of Operations |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | — |
| Psychologist primary | 103T00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.