# ACTIVE MOBILITY INC

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

## Provider details

- **NPI number:** 1780147082
- **Authorized official:** MOHAMMAD I SHALIKAR (OWNER)
- **Authorized official phone:** (951) 304-0085

## Contact information

- **Practice address:** 23735 JACKSON AVE, MURRIETA, CA 92562-2099
- **Practice address phone:** (951) 304-0085
- **Practice address fax:** (951) 304-0444
- **Mailing address:** 23735 JACKSON AVE, MURRIETA, CA 92562-2099
- **Mailing address phone:** (951) 304-0085
- **Mailing address fax:** (951) 304-0444

## Taxonomy

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

## Other

- **Enumeration date:** 04/12/2019
- **Last updated:** 04/12/2019