Active Life, LLC
Prosthetic/Orthotic Supplier in Los Angeles, California
1154986750- Practice location
- 403 W Adams Blvd Ste 201, Los Angeles, CA 90007-2664
- Phone
- 213-814-4062
- Fax
- 213-814-4079
- Last updated
- March 18, 2024
Active Life, LLC is a healthcare organization based in Los Angeles, CA. The NPI number for Active Life, LLC is 1154986750. The current practice location address is 403 W Adams Blvd Ste 201, Los Angeles, CA 90007-2664 and the office can be reached by phone at 213-814-4062 and by fax at 213-814-4079. The NPI was assigned on May 8, 2019 and the record was last updated in NPPES on March 18, 2024.
●Provider Profile Details
- NPI Number
- 1154986750
- Provider Name
- Active Life, LLC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Prosthetic/Orthotic Supplier · 335E00000X
- Organization Subpart
- No
- Authorized Official
- Pallavi Chintapalli Nemani · Compliance Officer · 512-552-6311
- Enumeration Date
- May 8, 2019
- Last Update Date
- March 18, 2024
- Certification Date
- March 18, 2024
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 403 W Adams Blvd Ste 201
Los Angeles, CA 90007-2664 - City
- Los Angeles
- State
- California
- ZIP
- 90007-2664
- Country
- US
- Phone Number
- 213-814-4062
- Fax Number
- 213-814-4079
✉Business Mailing Address
- Address
- 1577 E Chevy Chase Dr Ste 210
Glendale, CA 91206-4741 - City
- Glendale
- State
- CA
- ZIP
- 91206-4741
- Phone Number
- 818-495-4610
- Fax Number
- 818-484-2812
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Yes | — | — |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Los Angeles →?Frequently Asked Questions
What is the NPI number of Active Life, LLC?
The NPI number of Active Life, LLC is 1154986750. It was assigned on May 8, 2019 and is currently active in the NPPES registry.
What is the specialty of Active Life, LLC?
Active Life, LLC is registered under the primary taxonomy Prosthetic/Orthotic Supplier (code 335E00000X).
Where does Active Life, LLC practice?
The practice location is 403 W Adams Blvd Ste 201, Los Angeles, CA 90007-2664. The office can be reached at 213-814-4062 (phone) or 213-814-4079 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154986750 directly on the NPPES registry website at npiregistry.cms.hhs.gov.