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

Proactivehealthllc

Organization Clinic/Center · NPI 1083584023

Proactivehealthllc is a Clinic/Center in Tustin, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

17601 17th St Ste 120
Tustin, CA 92780-1946
Phone: (657) 210-4547
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1083584023
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Manwell Soliman — Ceo · (562) 658-6766
NPI enumeratedNovember 6, 2025
Last updated in NPPESNovember 6, 2025
Certification dateNovember 6, 2025
Mailing address17601 17th St Ste 120, Tustin, CA 92780-1946

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