Active Body Supplies in Tarzana - Prosthetic/orthotic Supplier
Active Body Supplies - NPI 1649439969
Active Body Supplies is a Prosthetic/orthotic Supplier in Tarzana, California. Active Body Supplies practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Active Body Supplies is 1649439969. The last update date is 2008-06-02.
Active Body Supplies's current location address is 18344 Clark St, Tarzana, California. You can contact this provider via phone number 8187044754. The mailing address for Active Body Supplies is 18344 Clark St, Tarzana, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Active Body Supplies |
|---|---|
| Address | 18344 Clark St, Tarzana, California |
| Phone Number | 8187044754 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Perez E Margaret |
| Credentials | DC |
| Telephone Number | 8187044754 |
NPI Number Detail
| NPI Number | 1649439969 |
|---|---|
| Provider Enumeration Date | 2008-06-02 |
| Last Updated Date | 2008-06-02 |
Provider Mailing Address Detail
| Address | 18344 Clark St |
|---|---|
| City | Tarzana |
| State | California (CA) |
| Post Code | 913563505 |
| Phone Number | 8187044754 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
| Licence No | 17786DC |
|
Definition: 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 f |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1598771719 | NPI | ||
| 17786 | CA | CA CHIROPRACTOR |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Active Body Supplies by the Centers for Medicare & Medicaid Services?
The Active Body Supplies has been issued the NPI (National Provider Identifier) 1649439969, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Active Body Supplies is physically located?
The Active Body Supplies is situated at the following address: 18344 Clark St, Tarzana, CA 913563505.
What is the Active Body Supplies's specialty and taxonomy code?
The Active Body Supplies's specialty is Prosthetic/orthotic Supplier, and the corresponding taxonomy code is 335E00000X.
When was the Active Body Supplies's 1649439969 issued?
The Active Body Supplies's 1649439969 was issued on 2008-06-02.
As of what date were the details related to Active Body Supplies most recently updated or revised?
The information pertaining to Active Body Supplies, including its address, specialty, and other relevant details, was last updated or revised on 2008-06-02.