Active NPIOrganization

Active Life, LLC

Prosthetic/Orthotic Supplier in Los Angeles, California

NPI Number1952765711
Practice location
1700 E Cesar E Chavez Ave Ste 3750, Los Angeles, CA 90033
Fax
323-425-8392
Last updated
January 24, 2023

Active Life, LLC is a healthcare organization based in Los Angeles, CA. The NPI number for Active Life, LLC is 1952765711. The current practice location address is 1700 E Cesar E Chavez Ave Ste 3750, Los Angeles, CA 90033 and the office can be reached by phone at 323-352-8319 and by fax at 323-425-8392. The NPI was assigned on April 7, 2016 and the record was last updated in NPPES on January 24, 2023.

●Provider Profile Details

NPI Number
1952765711
Provider Name
Active Life, LLC
Entity Type
Organization (Type 2 NPI)
Primary Taxonomy
Prosthetic/Orthotic Supplier · 335E00000X
Organization Subpart
No
Authorized Official
Pallavi Chintapalli Nemani · Compliance Officer · 512-552-6311
Enumeration Date
April 7, 2016
Last Update Date
January 24, 2023
Certification Date
January 24, 2023
NPI Status
Active

◉Business Practice Location Address

Address
1700 E Cesar E Chavez Ave Ste 3750
Los Angeles, CA 90033
ZIP
90033
Country
US
Phone Number
323-352-8319
Fax Number
323-425-8392

Get directions →

✉Business Mailing Address

Address
1577 E Chevy Chase Dr Ste 210
Glendale, CA 91206-4741
City
Glendale
State
CA
ZIP
91206-4741
Phone Number
818-495-4610
Fax Number
818-484-2812

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Prosthetic/Orthotic Supplier335E00000XYes——

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Active Life, LLC?

The NPI number of Active Life, LLC is 1952765711. It was assigned on April 7, 2016 and is currently active in the NPPES registry.

What is the specialty of Active Life, LLC?

Active Life, LLC is registered under the primary taxonomy Prosthetic/Orthotic Supplier (code 335E00000X).

Where does Active Life, LLC practice?

The practice location is 1700 E Cesar E Chavez Ave Ste 3750, Los Angeles, CA 90033. The office can be reached at 323-352-8319 (phone) or 323-425-8392 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1952765711 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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