Provider Demographics
NPI:1386780062
Name:VALLEY OXYGEN LLC
Entity type:Organization
Organization Name:VALLEY OXYGEN LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LUNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-589-6800
Mailing Address - Street 1:1240 MOUNTAIN VIEW ALVISO RD STE D
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94089-2239
Mailing Address - Country:US
Mailing Address - Phone:408-262-1720
Mailing Address - Fax:
Practice Address - Street 1:1370 TULLY RD STE 507
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95122-3056
Practice Address - Country:US
Practice Address - Phone:408-262-1720
Practice Address - Fax:408-262-1721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA43734332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5293950003Medicare NSC