Organization · Type 2 NPI

Active Life, LLC

Prosthetic/Orthotic Supplier · San Diego, CA

NPI number 1952609661 Active

Practice location

7910 Frost St Ste 320
San Diego, CA 92123

Fax (619) 272-7615

Mailing address

1577 E Chevy Chase Dr, Suite 210
Glendale, CA 91206-4147

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.

2 other providers at this address

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About NPI 1952609661

Active Life, LLC's National Provider Identifier is 1952609661, issued on Mar 3, 2011. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in San Diego, CA. The record was last updated on Jan 24, 2023.