Healthcare Provider Details

I. General information

NPI: 1902518905
Provider Name (Legal Business Name): OXFORD HEALTH GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2022
Last Update Date: 12/21/2022
Certification Date: 12/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4221 WILSHIRE BLVD STE 392
LOS ANGELES CA
90010-3537
US

IV. Provider business mailing address

4221 WILSHIRE BLVD STE 392
LOS ANGELES CA
90010-3537
US

V. Phone/Fax

Practice location:
  • Phone: 323-475-1800
  • Fax: 323-475-1826
Mailing address:
  • Phone: 323-475-1800
  • Fax: 323-475-1826

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. STEVEN ATLAS
Title or Position: PRINCIPAL
Credential:
Phone: 323-475-1800