Provider Demographics
NPI:1578382545
Name:XALA HEALTH LLC
Entity type:Organization
Organization Name:XALA HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:SHEIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:IRANMANESH
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:408-320-5510
Mailing Address - Street 1:4701 PATRICK HENRY DR BLDG 25
Mailing Address - Street 2:STE 134
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95054-1819
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4701 PATRICK HENRY DR BLDG 25
Practice Address - Street 2:STE 134
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95054-1819
Practice Address - Country:US
Practice Address - Phone:408-320-5510
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-07
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA124072OtherDEPARTMENT OF PUBLIC HEALTH
CA124225OtherDEPARTMENT OF PUBLIC HEALTH