Provider Demographics
NPI:1013209709
Name:EASY BREATHE, INC.
Entity Type:Organization
Organization Name:EASY BREATHE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:IAN
Authorized Official - Last Name:WEISS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-479-1935
Mailing Address - Street 1:11859 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 602
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-6616
Mailing Address - Country:US
Mailing Address - Phone:866-564-2252
Mailing Address - Fax:877-883-9709
Practice Address - Street 1:11859 WILSHIRE BLVD
Practice Address - Street 2:SUITE 602
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-6616
Practice Address - Country:US
Practice Address - Phone:866-564-2252
Practice Address - Fax:877-883-9709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-12
Last Update Date:2014-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58265332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies