Organization Active NPI

Unique Medical Distributors, Inc.

  • Customized Equipment (DME)
  • Los Angeles, CA
National Provider Identifier
1750569273
Registry record updated Jun 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
48760 Issued in CA
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

Updated by the provider on Jun 8, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
48760OtherCADEPT OF PUBLIC HEALTH FOOD AND DRUG BRANCH

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.