Organization · Type 2 NPI
Active Life, LLC
Prosthetic/Orthotic Supplier · Lakewood, CA
Practice location
3300 E South St Ste 305
Lakewood, CA 90805-4595
Fax (562) 304-9845
Mailing address
1577 E Chevy Chase Dr Ste 210
Glendale, CA 91206-4741
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | None listed |
Prosthetic/Orthotic Supplier: 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.
2 other providers at this address
Other prosthetic/orthotic supplier providers in Lakewood
About NPI 1073162244
Active Life, LLC's National Provider Identifier is 1073162244, issued on Sep 10, 2019. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Lakewood, CA. The record was last updated on Jan 23, 2023.