Provider Demographics
NPI: | 1083480891 |
---|---|
Name: | OXSTRONG, INC. |
Entity Type: | Organization |
Organization Name: | OXSTRONG, INC. |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | MRS |
Authorized Official - First Name: | FLORENCE |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | ERMAN |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | LAC, DAOM |
Authorized Official - Phone: | 818-634-5998 |
Mailing Address - Street 1: | 1430 STRADELLA RD |
Mailing Address - Street 2: | |
Mailing Address - City: | LOS ANGELES |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 90077-2311 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 818-634-5998 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 17530 VENTURA BLVD STE 220 |
Practice Address - Street 2: | |
Practice Address - City: | ENCINO |
Practice Address - State: | CA |
Practice Address - Zip Code: | 91316-3871 |
Practice Address - Country: | US |
Practice Address - Phone: | 818-990-9990 |
Practice Address - Fax: | 818-990-9904 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2023-12-01 |
Last Update Date: | 2023-12-01 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 171100000X | Other Service Providers | Acupuncturist | Group - Single Specialty |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
CA | 1023247947 | Other | NPI NUMBER |