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NPI Code Detail

MEDICARE: VALLEY OXYGEN LLC

MEDICARE: VALLEY OXYGEN LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332BX2000XOxygen Equipment & Supplies (DME)MP00283NV
2332BX2000XOxygen Equipment & Supplies (DME)CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235275918
Entity Type Code : Organization
Provider Name (Legal Business Name) : VALLEY OXYGEN LLC
Provider Business Mailing Address
First Line : 900 TRUXTUN AVE STE 330
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93301-4831
Country : US
Telephone Number : 661-589-6800
Fax Number : 661-589-6805
Provider Business Practice Location Address
First Line : 3945 W RENO AVE STE B
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-1667
Country : US
Telephone Number : 702-638-8046
Fax Number : 702-638-2660
Authorized Official
Title or Position : CEO
Name : MR. DANIEL A LUNA
Credential : R.C.P.
Telephone Number : 661-589-6800
Provider Enumeration Date : 01/29/2007
Last Update Date : 04/29/2020

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Directions to “VALLEY OXYGEN LLC ” Practice Location

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