MEDICARE: ACTIVE CHIROPRACTIC AND WELLNESS CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC-30203	CA

General Provider Information

NPI Number	:	1588810782
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACTIVE CHIROPRACTIC AND WELLNESS CENTER

Provider Business Mailing Address
First Line	:	2440 LAS POSAS RD
Second Line	:
City	:	CAMARILLO
State	:	CA
Zip	:	93010-3458
Country	:	US
Telephone Number	:	805-384-0101
Fax Number	:	805-384-0220

Provider Business Practice Location Address
First Line	:	2440 LAS POSAS RD
Second Line	:
City	:	CAMARILLO
State	:	CA
Zip	:	93010-3458
Country	:	US
Telephone Number	:	805-384-0101
Fax Number	:	805-384-0220

Authorized Official
Title or Position	:	DOCTOR
Name	:	ROMEO ECLAVEA DIMAANO
Credential	:	DC
Telephone Number	:	805-384-0101

Provider Enumeration Date	:	08/07/2008
Last Update Date	:	08/07/2008

Similar Medicare Providers

1730128364 — DR. RAGAA R IBRAHIM M.D.
Practice Location Address:

3458 KARENA CT
CAMARILLO, CA
93010-3956

Practice Phone: 805-987-2679
Practice Fax: 805-987-2679

1336292101 — DR. ROMEO ECLAVEA DIMAANO D.C.
Practice Location Address:

2440 LAS POSAS RD
CAMARILLO, CA
93010-3458

Practice Phone: 805-384-0101
Practice Fax: 805-384-0220

1417355801 — YASMIN FLORES
Practice Location Address:

400 MOBIL AVE # D29
CAMARILLO, CA
93010-6338

Practice Phone: 805-302-4996
Practice Fax:

1386513075 — ALLISON HAN
Practice Location Address:

2438 N PONDEROSA DR STE 101
CAMARILLO, CA
93010-2465

Practice Phone: 805-383-9727
Practice Fax:

1629925854 — GABRIELLE RAINES
Practice Location Address:

1000 PASEO CAMARILLO STE 235
CAMARILLO, CA
93010-0754

Practice Phone: 805-383-5566
Practice Fax:

1982551024 — LYNN TRAN
Practice Location Address:

600 TEMPLE AVE
CAMARILLO, CA
93010-4835

Practice Phone: 805-389-2100
Practice Fax:

Directions to “ACTIVE CHIROPRACTIC AND WELLNESS CENTER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.