MEDICARE: ADVANCED OXYGEN THERAPY INC.

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)

General Provider Information

NPI Number	:	1912651860
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED OXYGEN THERAPY INC.

Provider Business Mailing Address
First Line	:	3512 SEAGATE WAY STE 100
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92056-2688
Country	:	US
Telephone Number	:	760-431-4700
Fax Number	:	760-683-3063

Provider Business Practice Location Address
First Line	:	3835 N 32ND ST STE 8
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85018-4930
Country	:	US
Telephone Number	:	760-431-4700
Fax Number	:

Authorized Official
Title or Position	:	CEO AND PRESIDENT
Name	:	DR. MICHAEL GRIFFITHS
Credential	:
Telephone Number	:	760-431-4700

Provider Enumeration Date	:	02/09/2022
Last Update Date	:	02/09/2022

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