1689214611 NPI number — AALTO HYPERBARIC OXYGEN WOODLAND HILLS, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689214611 NPI number — AALTO HYPERBARIC OXYGEN WOODLAND HILLS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AALTO HYPERBARIC OXYGEN WOODLAND HILLS, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1689214611
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/07/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2080 CENTURY PARK E STE 200
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LOS ANGELES
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90067-2001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
310-507-7942
Provider Business Mailing Address Fax Number:
310-507-7943

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
23164 VENTURA BLVD STE C
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WOODLAND HILLS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91364-1101
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-629-8988
Provider Business Practice Location Address Fax Number:
818-914-5677
Provider Enumeration Date:
01/07/2020

Additional Information

Authorized Official

Authorized Official Last Name:
MARSHALL
Authorized Official First Name:
ELISA
Authorized Official Middle Name:
MARIA
Authorized Official Title or Position:
PRACTICE MANAGER
Authorized Official Telephone Number:
818-629-8988

Provider Taxonomy Codes

  • Taxonomy code: 207PE0005X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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