Provider Demographics
NPI:1629054499
Name:A-1 OXYGEN INC
Entity Type:Organization
Organization Name:A-1 OXYGEN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EDMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:MANUKYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-501-7777
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
Mailing Address - Country:US
Mailing Address - Phone:818-507-5777
Mailing Address - Fax:818-501-5778
Practice Address - Street 1:3643 SAN FERNANDO RD
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91204-2916
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:2005-12-22
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA3923100001Medicare NSC