Healthcare Provider Details

I. General information

NPI: 1871752766
Provider Name (Legal Business Name): OSA SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2008
Last Update Date: 06/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3450 WILSHIRE BLVD SUITE 840
LOS ANGELES CA
90010-2208
US

IV. Provider business mailing address

3450 WILSHIRE BLVD SUITE 840
LOS ANGELES CA
90010-2208
US

V. Phone/Fax

Practice location:
  • Phone: 310-717-9048
  • Fax:
Mailing address:
  • Phone: 310-717-9048
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number48982
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number48982
License Number StateCA

VIII. Authorized Official

Name: MS. LISA J PETTINELLI
Title or Position: MANAGING PARTNER
Credential: RRT
Phone: 310-717-9048