Healthcare Provider Details

I. General information

NPI: 1124905047
Provider Name (Legal Business Name): AIRTRANQUIL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2025
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5732 CORRADI TER
ACTON CA
93510-1131
US

IV. Provider business mailing address

5732 CORRADI TER
ACTON CA
93510-1131
US

V. Phone/Fax

Practice location:
  • Phone: 661-362-8286
  • Fax: 661-209-3281
Mailing address:
  • Phone: 661-362-8286
  • Fax: 661-209-3281

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. NOAH BROCK
Title or Position: CEO
Credential:
Phone: 661-362-8286