Provider Demographics
NPI:1235275918
Name:VALLEY OXYGEN LLC
Entity Type:Organization
Organization Name:VALLEY OXYGEN LLC
Other - Org Name:SYNERGY SLEEP & RESPIRATORY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:LUNA
Authorized Official - Suffix:
Authorized Official - Credentials:RCP
Authorized Official - Phone:661-589-6800
Mailing Address - Street 1:900 TRUXTUN AVE STE 330
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-4831
Mailing Address - Country:US
Mailing Address - Phone:661-589-6800
Mailing Address - Fax:661-589-6805
Practice Address - Street 1:3945 W RENO AVE STE B
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89118-1667
Practice Address - Country:US
Practice Address - Phone:702-638-8046
Practice Address - Fax:702-638-2660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVMP00283332BX2000X
CA332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100506137Medicaid
NV5293950002Medicare NSC