institution
Active Life, Llc
Prosthetic/Orthotic Supplier in Apple Valley, California
NPI 1942865605

Active Life, Llc is a Prosthetic/Orthotic Supplier based in Glendale, CA. Active Life, Llc practices in Apple Valley, CA. The NPI Number for Active Life, Llc is 1942865605 and holds a License No. (California).

The current practice location address for Active Life, Llc is 16008 Kamana Rd Ste 202A, Apple Valley, CA and can be reached out via phone at 760-515-6311 and via fax at 760-410-6187.

Location: 16008 Kamana Rd Ste 202A, Apple Valley, CA, 91206-4741
institution
Provider Profile Details
NPI Number
1942865605
Provider Name
Active Life, Llc
Credential
Provider Entity Type
Organization
Address
16008 Kamana Rd Ste 202A, Apple Valley, CA, 91206-4741
Phone Number
760-515-6311
Fax Number
760-410-6187
Provider Enumeration Date
05/07/2019
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
16008 Kamana Rd Ste 202A
City
State
Zip
92307-1376
Phone Number
760-515-6311
Fax Number
760-410-6187
person
Provider Business Mailing Address Details
Address
16008 Kamana Rd Ste 202A
City
State
Zip
92307-1376
Phone Number
760-515-6311
Fax Number
760-410-6187
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
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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