Healthcare Provider Details

I. General information

NPI: 1992704415
Provider Name (Legal Business Name): OXY RESPIRATORY & HOME MEDICAL EQUIPMENT SPECIALISTS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2005
Last Update Date: 10/12/2022
Certification Date: 10/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7324 SEPULVEDA BLVD
VAN NUYS CA
91405-1751
US

IV. Provider business mailing address

7324 N SEPULVEDA BLVD
VAN NUYS CA
91405-1751
US

V. Phone/Fax

Practice location:
  • Phone: 818-786-8880
  • Fax: 818-786-8555
Mailing address:
  • Phone: 818-786-8880
  • Fax: 818-786-8822

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number102511
License Number StateCA

VIII. Authorized Official

Name: YANIV YASMEH
Title or Position: PRESIDENT
Credential:
Phone: 818-786-8880