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Organization

OCEAN SIDE HOME HEALTH SERVICES,INC.

Active
Parent organization
OCEAN SIDE HOME HEALTH SERVICES, INC.
Other names
Oceanside Home Health Services, Inc., OCEANSIDE MEDICAL SUPPLIES
Organization subpart
Yes

Provider details

NPI number
Legal business name
OCEAN SIDE HOME HEALTH SERVICES, INC.
Authorized official
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
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
45465
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ZZZ092147
BLUE SHIELD
CA
Enumeration date
04/02/2007
Last updated
03/09/2023
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