Provider Demographics
NPI:1013391846
Name:A-1 OXYGEN INC
Entity Type:Organization
Organization Name:A-1 OXYGEN INC
Other - Org Name:A-1 OXYGEN
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:HAGHIGHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-501-5777
Mailing Address - Street 1:16218 VENTURA BLVD
Mailing Address - Street 2:3
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-2206
Mailing Address - Country:US
Mailing Address - Phone:818-501-5777
Mailing Address - Fax:818-501-5778
Practice Address - Street 1:16218 VENTURA BLVD
Practice Address - Street 2:3
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-2206
Practice Address - Country:US
Practice Address - Phone:818-501-5777
Practice Address - Fax:818-501-5778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-10
Last Update Date:2015-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA102896332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1629054499Medicaid
CA1629054499Medicaid