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Organization
OCEAN SIDE HOME HEALTH SERVICES INC
Active
Organization
OCEAN SIDE HOME HEALTH SERVICES INC
Active
Other names
Oceanside Home Health Services Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS TILAHUN (ADMINISTRATOR)
(323) 934-5050
Entity
Organization
Contact information
Practice address
4322 WILSHIRE BLVD, SUITE 208, LOS ANGELES, CA 90010-3793
(323) 934-5050
(323) 934-9850
Mailing address
4322 WILSHIRE BLVD, SUITE 208, LOS ANGELES, CA 90010-3793
(323) 934-5050
(323) 934-9850
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
980001353
CA
332BX2000X
Oxygen Equipment & Supplies (DME)
45465
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA08102F
—
CA
01
—
ZZZ09214Z
BLUESHIELD
CA
Enumeration date
07/22/2005
Last updated
02/22/2023
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