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
1	332BX2000X	Oxygen Equipment & Supplies (DME)	43734	CA

General Provider Information

NPI Number	:	1386780062
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALLEY OXYGEN LLC

Provider Business Mailing Address
First Line	:	1240 MOUNTAIN VIEW ALVISO RD STE D
Second Line	:
City	:	SUNNYVALE
State	:	CA
Zip	:	94089-2239
Country	:	US
Telephone Number	:	408-262-1720
Fax Number	:

Provider Business Practice Location Address
First Line	:	1370 TULLY RD STE 507
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95122-3056
Country	:	US
Telephone Number	:	408-262-1720
Fax Number	:	408-262-1721

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	DANIEL LUNA
Credential	:
Telephone Number	:	661-589-6800

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	08/01/2023

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Directions to “VALLEY OXYGEN LLC ” Practice Location

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