Healthcare Provider Details

I. General information

NPI: 1912632670
Provider Name (Legal Business Name): OXONE HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2022
Last Update Date: 03/11/2025
Certification Date: 02/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 N PACIFIC COAST HWY STE 2000 OFFICE 29
EL SEGUNDO CA
90245-5614
US

IV. Provider business mailing address

222 N PACIFIC COAST HWY STE 2000 OFFICE 29
EL SEGUNDO CA
90245-5614
US

V. Phone/Fax

Practice location:
  • Phone: 323-206-8678
  • Fax: 310-496-1450
Mailing address:
  • Phone: 323-206-8678
  • Fax: 310-496-1450

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. AZUMBI BIOSAH
Title or Position: PRESIDENT/CEO
Credential:
Phone: 323-206-8678