Organization
ULTRA MED SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX JOHN (MANAGER)
(408) 622-0120
Entity
Organization
Contact information
Practice address
14030 KORNBLUM AVE APT 204, HAWTHORNE, CA 90250
(408) 622-0120
Mailing address
14030 KORNBLUM AVE APT 204, HAWTHORNE, CA 90250
(408) 622-0120
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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