Healthcare Provider Details

I. General information

NPI: 1003988676
Provider Name (Legal Business Name): ELIXAIR MEDICAL INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15613 BLACKBURN AVE
NORWALK CA
90650-6848
US

IV. Provider business mailing address

15613 BLACKBURN AVE
NORWALK CA
90650-6848
US

V. Phone/Fax

Practice location:
  • Phone: 800-354-9247
  • Fax: 877-354-9247
Mailing address:
  • Phone: 800-354-9247
  • Fax: 877-354-9247

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number55713
License Number StateCA

VIII. Authorized Official

Name: SIMONA NOUR
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 562-204-0700