# BLUE OAK ASSET MANAGEMENT INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265966824
- **Authorized official:** SHANNON MOORE (PRESIDENT)
- **Authorized official phone:** (562) 506-5215

## Contact information

- **Practice address:** 5860 AVALON BLVD, LOS ANGELES, CA 90003-1308
- **Practice address phone:** (909) 204-6612
- **Mailing address:** 5860 AVALON BLVD, LOS ANGELES, CA 90003-1308
- **Mailing address phone:** (909) 204-6612

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0002888567-0001-5 | CA | Yes |

## Other

- **Enumeration date:** 04/20/2017
- **Last updated:** 04/20/2017
