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Active Life, Llc
Prosthetic/Orthotic Supplier in Los Angeles, California
NPI 1952765711

Active Life, Llc is a Prosthetic/Orthotic Supplier based in Glendale, CA. Active Life, Llc practices in Los Angeles, CA. The NPI Number for Active Life, Llc is 1952765711 and holds a License No. (California).

The current practice location address for Active Life, Llc is 1700 E Cesar E Chavez Ave Ste 3750, Los Angeles, CA and can be reached out via phone at 323-352-8319 and via fax at 323-425-8392.

Location: 1700 E Cesar E Chavez Ave Ste 3750, Los Angeles, CA, 91206-4741
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952765711
Provider Name
Active Life, Llc
Credential
Provider Entity Type
Organization
Address
1700 E Cesar E Chavez Ave Ste 3750, Los Angeles, CA, 91206-4741
Phone Number
323-352-8319
Fax Number
323-425-8392
Provider Enumeration Date
04/07/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
XC0009601 01 CA MEDI CAL
institution
Provider Business Practice Location Address Details
Address
1700 E Cesar E Chavez Ave Ste 3750
City
Los Angeles
State
California
Zip
90033
Phone Number
323-352-8319
Fax Number
323-425-8392
person
Provider Business Mailing Address Details
Address
1700 E Cesar E Chavez Ave Ste 3750
City
Los Angeles
State
California
Zip
90033
Phone Number
323-352-8319
Fax Number
323-425-8392
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
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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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