Provider Demographics
NPI:1972801694
Name:V02 INC.
Entity Type:Organization
Organization Name:V02 INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
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:661-729-5800
Mailing Address - Street 1:44444 16TH ST W
Mailing Address - Street 2:SUITE 204
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-2840
Mailing Address - Country:US
Mailing Address - Phone:661-729-5800
Mailing Address - Fax:661-729-5801
Practice Address - Street 1:44444 16TH ST W
Practice Address - Street 2:SUITE 204
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-2840
Practice Address - Country:US
Practice Address - Phone:661-729-5800
Practice Address - Fax:661-729-5801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-03
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52543332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies