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
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
10/12/2008
Last updated
11/12/2022
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