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Organization
ACTIVE FEET, INC.
Active
Organization
ACTIVE FEET, INC.
Active
Other names
The Active Foot Store
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP LARKINS D.P.M. (PRESIDENT)
(858) 453-5057
Entity
Organization
Contact information
Practice address
5490 COMPLEX ST STE 605, SAN DIEGO, CA 92123-1126
(858) 453-5057
(858) 453-5058
Mailing address
5490 COMPLEX ST STE 605, SAN DIEGO, CA 92123-1126
(858) 453-5057
(858) 453-5058
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
332BC3200X
Customized Equipment (DME)
—
NULL
Other
Enumeration date
10/12/2008
Last updated
11/12/2022
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