Organization · Type 2 NPI
Active Life, LLC
Prosthetic/Orthotic Supplier · Northridge, CA
Practice location
18433 Roscoe Blvd Ste 108
Northridge, CA 91325-4131
Fax (818) 539-7962
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.
Other prosthetic/orthotic supplier providers in Northridge
About NPI 1902852056
Active Life, LLC's National Provider Identifier is 1902852056, issued on May 26, 2006. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Northridge, CA. The record was last updated on Jan 24, 2023.