NPI 1902852056

Active Life, LLC

Organisation Prosthetic/Orthotic Supplier Northridge, CA

Practice location

Address: 18433 Roscoe Blvd STE 108, Northridge, CA 91325-4131
Phone: (818) 835-9441
Fax: (818) 539-7962
Mailing address: 1577 E Chevy Chase Dr STE 210, Glendale, CA 91206-4741

Authorised official

Name: Pallavi Chintapalli Nemani
Title: Compliance Officer
Phone: (512) 552-6311

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

Other Prosthetic/Orthotic Supplier providers in California →

Registry record

NPI: 1902852056
Entity type: Organization
NPI issued: 26 May 2006
Record last updated: 24 Jan 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.