Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Active Life, LLC

Organization Prosthetic/Orthotic Supplier · NPI 1083284590

Active Life, LLC is a Prosthetic/Orthotic Supplier in Rancho Mirage, California. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

72780 Country Club Dr Ste 300
Rancho Mirage, CA 92270-4150
Phone: (909) 748-0168
Fax: (909) 748-5881
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1083284590
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Spencer Doty — President · (858) 616-7724
NPI enumeratedJune 28, 2021
Last updated in NPPESJune 28, 2021
Certification dateJune 28, 2021
Mailing address1577 E Chevy Chase Dr Ste 210, Glendale, CA 91206-4741

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