Healthcare Provider Details

I. General information

NPI: 1578382545
Provider Name (Legal Business Name): XALA HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2024
Last Update Date: 10/07/2024
Certification Date: 10/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4701 PATRICK HENRY DR BLDG 25 STE 134
SANTA CLARA CA
95054-1819
US

IV. Provider business mailing address

4701 PATRICK HENRY DR BLDG 25 STE 134
SANTA CLARA CA
95054-1819
US

V. Phone/Fax

Practice location:
  • Phone: 408-320-5510
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SHEIDA IRANMANESH
Title or Position: DIRECTOR OF OPERATIONS
Credential: MPH
Phone: 408-320-5510