Provider Demographics
NPI:1992343867
Name:OXYGEN SERVICES SOUTHWEST LLC
Entity type:Organization
Organization Name:OXYGEN SERVICES SOUTHWEST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VINA JOANNE
Authorized Official - Middle Name:LAGUIO
Authorized Official - Last Name:SUMABAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-752-9830
Mailing Address - Street 1:13535 VENTURA BLVD STE C-417
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-3876
Mailing Address - Country:US
Mailing Address - Phone:310-752-9830
Mailing Address - Fax:310-507-0146
Practice Address - Street 1:13396 CONTOUR DR
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91423-4802
Practice Address - Country:US
Practice Address - Phone:310-752-9830
Practice Address - Fax:310-507-0146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-11
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies