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Active Life, Llc
Prosthetic/Orthotic Supplier in Mission Viejo, California
NPI 1497264733

Active Life, Llc is a Prosthetic/Orthotic Supplier based in Glendale, CA. Active Life, Llc practices in Mission Viejo, CA. The NPI Number for Active Life, Llc is 1497264733 and holds a License No. (California).

The current practice location address for Active Life, Llc is 26800 Crown Valley Pkwy Ste 360, Mission Viejo, CA and can be reached out via phone at 949-364-2773 and via fax at 949-204-0345.

Location: 26800 Crown Valley Pkwy Ste 360, Mission Viejo, CA, 91206-4741
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497264733
Provider Name
Active Life, Llc
Credential
Provider Entity Type
Organization
Address
26800 Crown Valley Pkwy Ste 360, Mission Viejo, CA, 91206-4741
Phone Number
949-364-2773
Fax Number
949-204-0345
Provider Enumeration Date
09/28/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
XC0009601 05 CA
institution
Provider Business Practice Location Address Details
Address
26800 Crown Valley Pkwy Ste 360
City
Mission Viejo
State
California
Zip
92691-8021
Phone Number
949-364-2773
Fax Number
949-204-0345
person
Provider Business Mailing Address Details
Address
26800 Crown Valley Pkwy Ste 360
City
Mission Viejo
State
California
Zip
92691-8021
Phone Number
949-364-2773
Fax Number
949-204-0345
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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