Provider Demographics
NPI:1851677694
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:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LUNA
Authorized Official - Suffix:
Authorized Official - Credentials:CRTT
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 1:412 W BROADWAY STE 302
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91204-1297
Practice Address - Country:US
Practice Address - Phone:818-294-7113
Practice Address - Fax:818-638-9325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-25
Last Update Date:2020-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA100-477807 00008332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1386780062Medicare NSC
NV1235275918Medicare NSC
CA1336165802Medicare NSC