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Active Life, Llc
Prosthetic/Orthotic Supplier in Orange, California
NPI 1689942294

Active Life, Llc is a Prosthetic/Orthotic Supplier based in Glendale, CA. Active Life, Llc practices in Orange, CA. The NPI Number for Active Life, Llc is 1689942294 and holds a License No. (California).

The current practice location address for Active Life, Llc is 2140 W Chapman Ave, Orange, CA and can be reached out via phone at 714-602-6436 and via fax at 714-468-5148.

Location: 2140 W Chapman Ave, Orange, CA, 91206-4147
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689942294
Provider Name
Active Life, Llc
Credential
Provider Entity Type
Organization
Address
2140 W Chapman Ave, Orange, CA, 91206-4147
Phone Number
714-602-6436
Fax Number
714-468-5148
Provider Enumeration Date
12/09/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
XC0009601 05 CA
XC0009601 01 CA MEDI CAL
institution
Provider Business Practice Location Address Details
Address
2140 W Chapman Ave
City
Orange
State
California
Zip
92868-2331
Phone Number
714-602-6436
Fax Number
714-468-5148
person
Provider Business Mailing Address Details
Address
2140 W Chapman Ave
City
Orange
State
California
Zip
92868-2331
Phone Number
714-602-6436
Fax Number
714-468-5148
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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