# ULTIMATE MEDICAL SUPPLY INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396940359
- **Authorized official:** LAZARE DE CARNOT TAMPA (CEO PRESIDENT)
- **Authorized official phone:** (213) 351-9500

## Contact information

- **Practice address:** 2975 WILSHIRE BLVD, SUITE Q, LOS ANGELES, CA 90010-1107
- **Practice address phone:** (213) 351-9500
- **Practice address fax:** (213) 351-9595
- **Mailing address:** 2975 WILSHIRE BLVD, SUITE Q, LOS ANGELES, CA 90010-1107
- **Mailing address phone:** (213) 351-9500
- **Mailing address fax:** (213) 351-9595

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 47197 | CA | Yes |

## Other

- **Enumeration date:** 06/19/2007
- **Last updated:** 11/29/2007