ACTIVE LIFE, LLC

MISSION VIEJO, CA
NPI1497264733
Entity TypeOrganization
Authorized ContactPALLAVI CHINTAPALLI NEMANI
Compliance Officer
512-552-6311
Organization Subpart ?No
Primary Taxonomy335E00000X Prosthetic/Orthotic Supplier
Enumeration Date2017-09-28
Last Update Date2023-01-24
Business Address
ACTIVE LIFE, LLC
26800 CROWN VALLEY PKWY STE 360
MISSION VIEJO, CA 92691-8021
Phone number: 949-364-2773
Mailing Address
ACTIVE LIFE, LLC
1577 E CHEVY CHASE DR STE 210
GLENDALE, CA 91206-4741
Phone number: 818-495-4610