Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Active Health Clinic LLC

Organization Health & Wellness Coach · NPI 1417767518

Active Health Clinic LLC is a Health & Wellness Coach in Vero Beach, Florida. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
9
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1948 Ocean Ridge Cir
Vero Beach, FL 32963-2730
Phone: (415) 279-0947
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Health & Wellness Coach Taxonomy 171400000X
Health Educator Taxonomy 174H00000X
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X
Public Health & General Preventive Medicine Physician Taxonomy 2083P0901X
Home Health Agency Taxonomy 251E00000X
Home Infusion Agency Taxonomy 251F00000X
Clinic/Center Taxonomy 261Q00000X
Health Service Clinic/Center Taxonomy 261QH0100X

Record details

NPI number1417767518
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kassra Michael Khazalpour — President · (415) 279-0947
Other names Active Health Clinic; Active Health Clinic
NPI enumeratedJanuary 10, 2025
Last updated in NPPESJanuary 27, 2025
Certification dateJanuary 27, 2025
Mailing address1948 Ocean Ridge Cir, Vero Beach, FL 32963-2730

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