ACTIVE LIFE, LLC

SAN DIEGO, CA
NPI1952609661
Entity TypeOrganization
Authorized ContactPALLAVI CHINTAPALLI NEMANI
Compliance Officer
512-552-6311
Organization Subpart ?No
Primary Taxonomy335E00000X Prosthetic/Orthotic Supplier
Enumeration Date2011-03-03
Last Update Date2023-01-24
Business Address
ACTIVE LIFE, LLC
7910 FROST ST STE 320
SAN DIEGO, CA 92123
Phone number: 619-488-6196
Mailing Address
ACTIVE LIFE, LLC
1577 E CHEVY CHASE DR SUITE 210
GLENDALE, CA 91206-4147
Phone number: 818-495-4610