Provider Demographics
NPI:1982000121
Name:VALLEY OXYGEN
Entity Type:Organization
Organization Name:VALLEY OXYGEN
Other - Org Name:DBA SYNERGY SLEEP & RESPIRATORY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:ACOSTA
Authorized Official - Last Name:LUNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-589-6800
Mailing Address - Street 1:3232 RIO MIRADA DR
Mailing Address - Street 2:SUITE C2
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93308-4950
Mailing Address - Country:US
Mailing Address - Phone:661-589-6800
Mailing Address - Fax:661-589-6805
Practice Address - Street 1:1017 N DEMAREE ST
Practice Address - Street 2:SUITE B
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-4117
Practice Address - Country:US
Practice Address - Phone:559-697-6226
Practice Address - Fax:559-257-5799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-17
Last Update Date:2014-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA100-47780700010332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies