Active NPI
Unique Medical Distributors, Inc.
- Customized Equipment (DME)
- Los Angeles, CA
National Provider Identifier
1750569273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- License
- 48760
- Legal business name
- UNIQUE MEDICAL DISTRIBUTORS, INC.
- Practice address
- 10962 W Pico Blvd
Los Angeles, CA 90064-2115 - Phone
- (310) 475-8983
- Fax
- (310) 475-8130
- NPI assigned
- Feb 6, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maryam Seyedan
- Title
- President
- Phone
- (310) 475-8983
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 48760 | CA | |
| Customized Equipment (DME) | 332BC3200X | 48760 | CA | Primary |
Addresses
Primary practice location
10962 W Pico Blvd
Los Angeles, CA 90064-2115
Mailing address
10962 W Pico Blvd
Los Angeles, CA 90064-2115
Phone (310) 475-8983
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 48760 | Other | CA | DEPT OF PUBLIC HEALTH FOOD AND DRUG BRANCH |
National Provider Directory
National Provider DirectoryLocations
10962 W Pico Blvd
Los Angeles, CA 90064
Phone (310) 475-8983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1275955200000",
"number": "1750569273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10962 W PICO BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900642115",
"telephone_number": "310-475-8983",
"fax_number": "310-475-8130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10962 W PICO BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900642115",
"telephone_number": "310-475-8983",
"fax_number": "310-475-8130"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIQUE MEDICAL DISTRIBUTORS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-06",
"last_updated": "2010-06-08",
"status": "A",
"authorized_official_last_name": "SEYEDAN",
"authorized_official_first_name": "MARYAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-475-8983"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "48760",
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "CA",
"license": "48760",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF PUBLIC HEALTH FOOD AND DRUG BRANCH",
"identifier": "48760",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.