Organization
ACTIVE LIFE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SPENCER ARDEN DOTY CPO (PRESIDENT)
(858) 616-7724
Entity
Organization
Contact information
Practice address
190 SIERRA CT STE A4, PALMDALE, CA 93550-7608
(818) 495-4610
(818) 484-2812
Mailing address
1577 E CHEVY CHASE DR STE 210, GLENDALE, CA 91206-4741
(818) 522-8781
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XC0009601
—
CA
Enumeration date
10/19/2017
Last updated
01/14/2021
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