Provider Demographics
NPI:1912632670
Name:OXONE HEALTHCARE INC
Entity type:Organization
Organization Name:OXONE HEALTHCARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:AZUMBI
Authorized Official - Middle Name:
Authorized Official - Last Name:BIOSAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-206-8678
Mailing Address - Street 1:222 N PACIFIC COAST HWY
Mailing Address - Street 2:STE 2000 OFFICE 29
Mailing Address - City:EL SEGUNDO
Mailing Address - State:CA
Mailing Address - Zip Code:90245-5614
Mailing Address - Country:US
Mailing Address - Phone:323-206-8678
Mailing Address - Fax:310-496-1450
Practice Address - Street 1:222 N PACIFIC COAST HWY
Practice Address - Street 2:STE 2000 OFFICE 29
Practice Address - City:EL SEGUNDO
Practice Address - State:CA
Practice Address - Zip Code:90245-5614
Practice Address - Country:US
Practice Address - Phone:323-206-8678
Practice Address - Fax:310-496-1450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-18
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health