# ACTIVE POTENTIAL INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407962624
- **Authorized official:** MS. ANNA K POLLARD (PRESIDENT/MANAGER)
- **Authorized official phone:** (858) 292-4128

## Contact information

- **Practice address:** 7898 OSTROW ST, SUITE G, SAN DIEGO, CA 92111-3640
- **Practice address phone:** (858) 292-4128
- **Practice address fax:** (858) 292-4833
- **Mailing address:** 7898 OSTROW ST, SUITE G, SAN DIEGO, CA 92111-3640
- **Mailing address phone:** (858) 292-4128
- **Mailing address fax:** (858) 292-4833

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 45651 | CA | Yes |

## Other

- **Enumeration date:** 08/21/2006
- **Last updated:** 03/13/2008