Healthcare Provider Details

I. General information

NPI: 1790920957
Provider Name (Legal Business Name): TB2G, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2008
Last Update Date: 10/23/2024
Certification Date: 10/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 MAGNOLIA AVE
OXNARD CA
93030-5332
US

IV. Provider business mailing address

120 MAGNOLIA AVE
OXNARD CA
93030-5332
US

V. Phone/Fax

Practice location:
  • Phone: 805-486-5949
  • Fax: 805-486-5919
Mailing address:
  • Phone: 805-486-5949
  • Fax: 805-486-5919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number2766094
License Number StateCA

VIII. Authorized Official

Name: MRS. JACQUELINE LEE
Title or Position: PRESIDENT
Credential:
Phone: 818-345-5859