Healthcare Provider Details

I. General information

NPI: 1114668753
Provider Name (Legal Business Name): ADVANCED OXYGEN THERAPY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2022
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 TOWN CENTER ST STE 203
DALEVILLE VA
24083-3742
US

IV. Provider business mailing address

3512 SEAGATE WAY STE 100
OCEANSIDE CA
92056-2688
US

V. Phone/Fax

Practice location:
  • Phone: 760-431-4700
  • Fax: 610-646-0556
Mailing address:
  • Phone: 760-431-4700
  • Fax: 610-646-0556

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL GRIFFITHS
Title or Position: CEO AND PRESIDENT
Credential:
Phone: 760-431-4700