Provider Demographics
NPI:1023716552
Name:LA HYPERBARIC OXYGEN CENTER LLC
Entity type:Organization
Organization Name:LA HYPERBARIC OXYGEN CENTER LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BETH
Authorized Official - Middle Name:
Authorized Official - Last Name:MENELEY
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:310-775-3388
Mailing Address - Street 1:18663 VENTURA BLVD STE 120
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-6806
Mailing Address - Country:US
Mailing Address - Phone:310-775-3388
Mailing Address - Fax:
Practice Address - Street 1:18663 VENTURA BLVD STE 120
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-6806
Practice Address - Country:US
Practice Address - Phone:310-775-3388
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-23
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty