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Active Life, Llc
Prosthetic/Orthotic Supplier in Los Angeles, California
NPI 1154986750

Active Life, Llc is a Prosthetic/Orthotic Supplier based in Glendale, CA. Active Life, Llc practices in Los Angeles, CA. The NPI Number for Active Life, Llc is 1154986750 and holds a License No. (California).

The current practice location address for Active Life, Llc is 403 W Adams Blvd Ste 201, Los Angeles, CA and can be reached out via phone at 213-814-4062 and via fax at 213-814-4079.

Location: 403 W Adams Blvd Ste 201, Los Angeles, CA, 91206-4741
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154986750
Provider Name
Active Life, Llc
Credential
Provider Entity Type
Organization
Address
403 W Adams Blvd Ste 201, Los Angeles, CA, 91206-4741
Phone Number
213-814-4062
Fax Number
213-814-4079
Provider Enumeration Date
05/08/2019
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
XC0009601 05 CA
institution
Provider Business Practice Location Address Details
Address
403 W Adams Blvd Ste 201
City
Los Angeles
State
California
Zip
90007-2664
Phone Number
213-814-4062
Fax Number
213-814-4079
person
Provider Business Mailing Address Details
Address
403 W Adams Blvd Ste 201
City
Los Angeles
State
California
Zip
90007-2664
Phone Number
213-814-4062
Fax Number
213-814-4079
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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