Ultimate Medical Supply Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

47197 Issued in CA

Legal business name

ULTIMATE MEDICAL SUPPLY INC.

Practice address

2975 Wilshire Blvd
Suite Q
Los Angeles, CA 90010-1107

Phone

(213) 351-9500

Fax

(213) 351-9595

NPI assigned

Jun 19, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lazare De Carnot Tampa

Title

Ceo President

Phone

(213) 351-9500

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1396940359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2975 WILSHIRE BLVD",
            "address_2": "SUITE Q",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900101107",
            "telephone_number": "213-351-9500",
            "fax_number": "213-351-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 WILSHIRE BLVD",
            "address_2": "SUITE Q",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900101107",
            "telephone_number": "213-351-9500",
            "fax_number": "213-351-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE MEDICAL SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "TAMPA",
        "authorized_official_first_name": "LAZARE",
        "authorized_official_middle_name": "DE CARNOT",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "213-351-9500"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "47197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ultimate DX Corp
• Ultimate Home Health Care of Beverly Hills
• Ultimate Home Healthcare Services, Inc
• Ultimate Lifestyle Center
• Ultimate Lifestyle Center
• Ultimate Wellness Program
• Ultimed Medical Clinic, Inc.
• Ultimum Home Health Care
• Ultimum-Care Medical Distributors
• Ultra Urgent Care

• Durable Medical Equipment & Medical Supplies in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.