Provider Demographics
NPI:1740757897
Name:MEDICAL OXYGEN & SUPPLIES INC
Entity Type:Organization
Organization Name:MEDICAL OXYGEN & SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:JOHN PATRICK
Authorized Official - Last Name:OBRIEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-445-0382
Mailing Address - Street 1:569 MERCURY LN
Mailing Address - Street 2:
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-4837
Mailing Address - Country:US
Mailing Address - Phone:714-674-0737
Mailing Address - Fax:714-674-0739
Practice Address - Street 1:569 MERCURY LN
Practice Address - Street 2:
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821-4837
Practice Address - Country:US
Practice Address - Phone:714-674-0737
Practice Address - Fax:714-674-0739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-26
Last Update Date:2018-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies