ACTIVE LIVING OSTOMY INC NPI 1184736209

NPI Information

  • NPI: 1184736209
  • Provider Name: ACTIVE LIVING OSTOMY, INC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Other Name: NONE
  • Address: 994 THOROUGHBRED LN
    NORCO, CA
    ZIP 92860
  • Phone: (951) 808-9734

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NPI Details

ACTIVE LIVING OSTOMY, INC is a durable medical equipment medical supplies in Norco, CA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. ACTIVE LIVING OSTOMY, INC NPI is 1184736209. The provider is registered as an organization entity type.
The provider Other Name Is None.

The provider's business location address is:

994 THOROUGHBRED LN
NORCO, CA
ZIP 92860-861
Phone: (951) 808-9734
Fax: (951) 808-8603

The provider's authorized official is Girma Leggesse .
The authorized official title is Owner/president and has the following contact phone number (951) 808-9734.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 9/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical Supplies009039CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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