Active Life, Llc

Prosthetic & Orthotic Supplier Center | Prosthetic & Orthotic Supplier


  
26800 Crown Valley Pkwy Ste 360, Mission Viejo
California, 92691-8021

 949-364-2773     949-204-0345Maps & Directions
Active Life, Llc is a Prosthetic & Orthotic Supplier (Prosthetic & Orthotic Supplier) in Mission Viejo, California. It is situated at 26800 Crown Valley Pkwy Ste 360, Mission Viejo and its contact number is 949-364-2773. The authorized person of Active Life, Llc is Brett A Trimper who is Director Of Business Development of the store and his/her contact number is 714-388-5660.
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 Center 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, Prosthetic & Orthotic Supplier
Address:26800 Crown Valley Pkwy Ste 360, Mission Viejo,
California, 92691-8021
Phone:949-364-2773
Fax:949-204-0345
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: Brett A Trimper
Position: Director Of Business Development
Contact Number: 714-388-5660
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: 1497264733
NPI Enumeration Date: 28 Sep, 2017
NPI Last Update On: 12 Jul, 2021

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.
SpecializationLicense NumberStateStatus
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
XC0009601MedicaidCalifornia
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: 818-478-3457
Patients can reach Active Life, Llc at 26800 Crown Valley Pkwy Ste 360, Mission Viejo, California or can call to book an appointment on 949-364-2773. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.

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