Active Life, Llc
LBN: Active Life, Llc
Active Life, Llc is an health care organization with primary practice located at 1577 E Chevy Chase Dr Suite 210, Glendale CA 91206-4107. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty.
Active Life, Llc can be contacted via phone (818) 495-4610, or through Nemani, Pallavi Chintapalli via phone (512) 552-6311.
Contact Information
Primary practice address
1577 E Chevy Chase Dr Suite 210
Glendale CA 91206-4107
Phone: (818) 495-4610
Fax: (818) 484-2812
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Prosthetic/Orthotic Supplier | 335E00000X | California |
Profile Details
NPI number | 1215983366 |
---|---|
LBN Legal business name | Active Life, Llc |
DBA Doing business as | |
Authorized official | Nemani, Pallavi Chintapalli |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | May 26th, 2006 |
Last updated | Jan 24th, 2023 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1215983366 | NPPES |
California | MEDICAID | XC0009601 |
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