# ACTIVE FEET, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Active Foot Store
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770625857
- **Authorized official:** DR. JACK A REINGOLD D.P.M. (PRESIDENT)
- **Authorized official phone:** (858) 792-1142

## Contact information

- **Practice address:** 4545 LA JOLLA VILLAGE DR, \#9026, SAN DIEGO, CA 92122-1241
- **Practice address phone:** (858) 453-5057
- **Practice address fax:** (858) 453-5058
- **Mailing address:** 550 LOMAS SANTA FE DR, SUITE B, SOLANA BEACH, CA 92075-1343
- **Mailing address phone:** (858) 792-1142
- **Mailing address fax:** (858) 755-6785

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |

## Other

- **Enumeration date:** 02/13/2007
- **Last updated:** 05/08/2008