Provider Demographics
NPI:1578811022
Name:VALLEY OXYGEN
Entity Type:Organization
Organization Name:VALLEY OXYGEN
Other - Org Name:SYNERGY SLEEP & RESPIRATORY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:ACOSTA
Authorized Official - Last Name:LUNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-345-9386
Mailing Address - Street 1:4825 CALLOWAY DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93312-9706
Mailing Address - Country:US
Mailing Address - Phone:661-589-6800
Mailing Address - Fax:661-589-6805
Practice Address - Street 1:817 MISSOURI ST
Practice Address - Street 2:SUITE 2
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94533-6298
Practice Address - Country:US
Practice Address - Phone:707-427-1821
Practice Address - Fax:707-427-1831
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-15
Last Update Date:2012-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10047780700004332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5293950004Medicare NSC
CA5293950003Medicare NSC
CA5293950001Medicare NSC
NV5293950002Medicare NSC