ACTIVE LIFE, LLC is a prosthetic orthotic supplier in Lakewood, CA. The provider is 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. ACTIVE LIFE, LLC NPI is 1073162244. The provider is registered as an organization entity type.
The provider's business location address is:
3300 E SOUTH ST STE 305
LAKEWOOD, CA
ZIP 90805-595
Phone: (562) 304-9866
Fax: (562) 304-9845
The provider's authorized official is Pallavi Chintapalli Nemani .
The authorized official title is Compliance Officer and has the following contact phone number (512) 552-6311.
The enumeration date for this NPI number is 9/10/2019 and was last updated on 1/23/2023.