Organization
ACTIVE FEET, INC.
Active
Other names
The Active Foot Store
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK A REINGOLD D.P.M. (PRESIDENT)
(858) 792-1142
Entity
Organization
Contact information
Practice address
4545 LA JOLLA VILLAGE DR, #9026, SAN DIEGO, CA 92122-1241
(858) 453-5057
(858) 453-5058
Mailing address
550 LOMAS SANTA FE DR, SUITE B, SOLANA BEACH, CA 92075-1343
(858) 792-1142
(858) 755-6785
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
02/13/2007
Last updated
05/08/2008
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