1215983366 ACTIVE LIFE, LLC
Prosthetic/Orthotic Supplier
Active
Basic Information
- Organization Name
- ACTIVE LIFE, LLC
- Enumeration Date
- May 26, 2006
- Last Update
- January 24, 2023
- Authorized Official
- PALLAVI CHINTAPALLI NEMANI
COMPLIANCE OFFICER
Phone: (512) 552-6311
Practice Location
- Address
- 1577 E CHEVY CHASE DR
SUITE 210
GLENDALE, CA 912064107 - Phone
- (818) 495-4610
- Fax
- (818) 484-2812
Mailing Address
- Address
- 124 ALVARADO DR SE
ALBUQUERQUE, NM 871082940 - Phone
- (505) 266-1700
- Fax
- (323) 264-7171
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Prosthetic/Orthotic Supplier | N/A | CA | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XC0009601 | 05 | CA | N/A |
Frequently Asked Questions
What is ACTIVE LIFE, LLC's NPI number?
ACTIVE LIFE, LLC's NPI number is 1215983366.
Which doctor has NPI number 1215983366?
The doctor with NPI number 1215983366 is ACTIVE LIFE, LLC.
What is ACTIVE LIFE, LLC's practice address?
ACTIVE LIFE, LLC's practice address is 1577 E CHEVY CHASE DR, SUITE 210, GLENDALE, CA, 912064107.
Which doctor practices at 1577 E CHEVY CHASE DR, SUITE 210, GLENDALE, CA, 912064107?
ACTIVE LIFE, LLC practices at 1577 E CHEVY CHASE DR, SUITE 210, GLENDALE, CA, 912064107.
What is ACTIVE LIFE, LLC's mailing address?
ACTIVE LIFE, LLC's mailing address is 124 ALVARADO DR SE, ALBUQUERQUE, NM, 871082940.
What is ACTIVE LIFE, LLC's phone number?
ACTIVE LIFE, LLC's phone number is (818) 495-4610.
Who is (818) 495-4610?
(818) 495-4610 is the phone number for ACTIVE LIFE, LLC.
What is ACTIVE LIFE, LLC's specialty?
ACTIVE LIFE, LLC's specialty is Prosthetic/Orthotic Supplier.
What type of doctor is ACTIVE LIFE, LLC?
ACTIVE LIFE, LLC is a Prosthetic/Orthotic Supplier.
Is ACTIVE LIFE, LLC a Prosthetic/Orthotic Supplier?
Yes, ACTIVE LIFE, LLC is a Prosthetic/Orthotic Supplier.
Is ACTIVE LIFE, LLC still practicing?
Yes, ACTIVE LIFE, LLC is currently practicing.
Is ACTIVE LIFE, LLC accepting new patients?
ACTIVE LIFE, LLC may be accepting new patients. Please call their office at (818) 495-4610 to inquire about availability.
Is NPI 1215983366 still active?
Yes, NPI 1215983366 is currently active.
Where does ACTIVE LIFE, LLC practice?
ACTIVE LIFE, LLC practices in GLENDALE, CA.