Active Life, LLC
NPI #1174293997 in Murrieta, California
Provider Information
- NPI Number
- 1174293997
- Entity Type
- Organization
- Organization Name
- Active Life, LLC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Sep 14, 2021
- Last Updated
- Jan 23, 2023
Practice Location
- Address
- 25405 HANCOCK AVE STE 213
- City
- Murrieta
- State
- California
- ZIP Code
- 92562-5978
- Phone
- (951) 698-0505
Authorized Official
- Name
- PALLAVI CHINTAPALLI NEMANI
- Title
- COMPLIANCE OFFICER
- Phone
- (512) 552-6311
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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