Organization
ACTIVE LIFE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PALLAVI CHINTAPALLI NEMANI (COMPLIANCE OFFICER)
(512) 552-6311
Entity
Organization
Contact information
Practice address
1577 E CHEVY CHASE DR, SUITE 210, GLENDALE, CA 91206-4107
(818) 495-4610
(818) 484-2812
Mailing address
124 ALVARADO DR SE, ALBUQUERQUE, NM 87108-2940
(505) 266-1700
(323) 264-7171
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XC0009601
—
CA
Enumeration date
05/26/2006
Last updated
01/24/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us