Healthcare Provider Details

I. General information

NPI: 1689214611
Provider Name (Legal Business Name): AALTO HYPERBARIC OXYGEN WOODLAND HILLS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2020
Last Update Date: 01/07/2020
Certification Date: 01/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23164 VENTURA BLVD STE C
WOODLAND HILLS CA
91364-1101
US

IV. Provider business mailing address

2080 CENTURY PARK E STE 200
LOS ANGELES CA
90067-2001
US

V. Phone/Fax

Practice location:
  • Phone: 818-629-8988
  • Fax: 818-914-5677
Mailing address:
  • Phone: 310-507-7942
  • Fax: 310-507-7943

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0005X
TaxonomyUndersea and Hyperbaric Medicine (Emergency Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. ELISA MARIA MARSHALL
Title or Position: PRACTICE MANAGER
Credential:
Phone: 818-629-8988