Healthcare Provider Details

I. General information

NPI: 1013209709
Provider Name (Legal Business Name): EASY BREATHE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2011
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24922 ANZA DR STE F
SANTA CLARITA CA
91355-1220
US

IV. Provider business mailing address

11766 WILSHIRE BLVD STE 1150
LOS ANGELES CA
90025-6578
US

V. Phone/Fax

Practice location:
  • Phone: 866-564-2252
  • Fax: 877-883-9709
Mailing address:
  • Phone: 866-564-2252
  • Fax: 877-883-9709

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number58265
License Number StateCA

VIII. Authorized Official

Name: MR. NICHOLAS IAN WEISS
Title or Position: CEO
Credential:
Phone: 310-479-1935