NPI Code Details Logo

NPI 1912632670

NPI 1912632670 : OXONE HEALTHCARE INC : EL SEGUNDO, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1912632670
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    OXONE HEALTHCARE INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/18/2022
-----------------------------------------------------
    Last Update Date     |    03/11/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    222 N PACIFIC COAST HWY STE 2000 OFFICE 29
-----------------------------------------------------
    City                 |    EL SEGUNDO
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    90245-5614
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    323-206-8678
-----------------------------------------------------
    Fax                  |    310-496-1450
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    222 N PACIFIC COAST HWY STE 2000 OFFICE 29
-----------------------------------------------------
    City                 |    EL SEGUNDO
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    90245-5614
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    323-206-8678
-----------------------------------------------------
    Fax                  |    310-496-1450
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PRESIDENT/CEO
-----------------------------------------------------
    Name                 |    MR. AZUMBI  BIOSAH 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    323-206-8678
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251E00000X
-----------------------------------------------------
    Taxonomy Name        |    Home Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.