Organization · Type 2 NPI

Active Life, LLC

Prosthetic/Orthotic Supplier · Rancho Mirage, CA

NPI number 1083284590 Active

Practice location

72780 Country Club Dr Ste 300
Rancho Mirage, CA 92270-4150

Fax (909) 748-5881

Mailing address

1577 E Chevy Chase Dr Ste 210
Glendale, CA 91206-4741

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000XNone 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.

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About NPI 1083284590

Active Life, LLC's National Provider Identifier is 1083284590, issued on Jun 28, 2021. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Rancho Mirage, CA. The record was last updated on Jun 28, 2021.