Healthcare Provider Details

I. General information

NPI: 1023937653
Provider Name (Legal Business Name): HAVEN- HUMANITARIAN ACCESS TO VITAL EQUIPMENT NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 LEAGUE UNIT 61293
IRVINE CA
92602-7059
US

IV. Provider business mailing address

1 LEAGUE UNIT 61293
IRVINE CA
92602-7059
US

V. Phone/Fax

Practice location:
  • Phone: 714-276-4281
  • Fax:
Mailing address:
  • Phone: 714-276-4281
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code222Z00000X
TaxonomyOrthotist
License Number
License Number State

VIII. Authorized Official

Name: MR. JESSE RASMUSSEN
Title or Position: PRESIDENT
Credential: CPO
Phone: 714-276-4281