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Active Life, Llc
Prosthetic/Orthotic Supplier in Murrieta, California
NPI 1174293997

Active Life, Llc is a Prosthetic/Orthotic Supplier based in Glendale, CA. Active Life, Llc practices in Murrieta, CA. The NPI Number for Active Life, Llc is 1174293997 and holds a License No. (California).

The current practice location address for Active Life, Llc is 25405 Hancock Ave Ste 213, Murrieta, CA and can be reached out via phone at 951-698-0505 and via fax at 951-335-0707.

Location: 25405 Hancock Ave Ste 213, Murrieta, CA, 91206-4741
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174293997
Provider Name
Active Life, Llc
Credential
Provider Entity Type
Organization
Address
25405 Hancock Ave Ste 213, Murrieta, CA, 91206-4741
Phone Number
951-698-0505
Fax Number
951-335-0707
Provider Enumeration Date
09/14/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
XC0009601 05 CA
institution
Provider Business Practice Location Address Details
Address
25405 Hancock Ave Ste 213
City
Murrieta
State
California
Zip
92562-5978
Phone Number
951-698-0505
Fax Number
951-335-0707
person
Provider Business Mailing Address Details
Address
25405 Hancock Ave Ste 213
City
Murrieta
State
California
Zip
92562-5978
Phone Number
951-698-0505
Fax Number
951-335-0707
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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