Provider Demographics
NPI:1184191470
Name:AIR FOR LIFE LLC
Entity Type:Organization
Organization Name:AIR FOR LIFE LLC
Other - Org Name:AIR FOR LIFE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LYNNE
Authorized Official - Middle Name:HOANG
Authorized Official - Last Name:TRAN-PECSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-894-1480
Mailing Address - Street 1:39817 PASEO PADRE PKWY
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-2974
Mailing Address - Country:US
Mailing Address - Phone:510-383-0274
Mailing Address - Fax:510-894-0858
Practice Address - Street 1:39817 PASEO PADRE PKWY
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-2974
Practice Address - Country:US
Practice Address - Phone:510-383-0274
Practice Address - Fax:510-894-0858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-25
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies