Active Life, Llc
Prosthetic & Orthotic Supplier
3300 E South St Ste 305, Lakewood
California, 90805-4595
562-304-9866 562-304-9845
Maps & DirectionsActive Life, Llc is a Prosthetic & Orthotic Supplier in Lakewood, California. It is situated at 3300 E South St Ste 305, Lakewood and its contact number is 562-304-9866. The authorized person of Active Life, Llc is Pallavi Chintapalli Nemani
who is Compliance Officer of the store and his/her contact number is 512-552-6311.
Active Life, Llc is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Complete Profile:
Active Life, Llc Center speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the Prosthetic/Orthotic center or can call on the below given phone number for appointment.
| Specialization: | Prosthetic & Orthotic Supplier |
| Address: | 3300 E South St Ste 305, Lakewood,
California, 90805-4595 |
| Phone: | 562-304-9866 |
| Fax: | 562-304-9845 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
| Name: | Pallavi Chintapalli Nemani |
| Position: | Compliance Officer |
| Contact Number: | 512-552-6311 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Active Life, Llc center are as mentioned below.
| NPI Number: | 1073162244 |
| NPI Enumeration Date: | 10 Sep, 2019 |
| NPI Last Update On: | 23 Jan, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Active Life, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Prosthetic/orthotic Supplier | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| XC0009601 | Medicaid | California | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Active Life, Llc
1577 E Chevy Chase Dr Ste 210,
Glendale, California |
| Zip: | 91206-4741 |
| Phone Number: | 818-495-4610 |
| Fax Number: | 818-484-2812 |
Patients can reach Active Life, Llc at
3300 E South St Ste 305, Lakewood, California or can
call to book an appointment on 562-304-9866.
Comments/ Reviews:
Patients can read all the reviews posted for Active Life, Llc below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Active Life, Llc. It will help others make informed decisions.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.