Organization
UNIQUE MEDICAL DISTRIBUTORS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYAM SEYEDAN (PRESIDENT)
(310) 475-8983
Entity
Organization
Contact information
Practice address
10962 W PICO BLVD, LOS ANGELES, CA 90064-2115
(310) 475-8983
(310) 475-8130
Mailing address
10962 W PICO BLVD, LOS ANGELES, CA 90064-2115
(310) 475-8983
(310) 475-8130
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
48760
CA
332BC3200X
Customized Equipment (DME)
Primary
48760
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48760
DEPT OF PUBLIC HEALTH FOOD AND DRUG BRANCH
CA
Enumeration date
02/06/2008
Last updated
06/08/2010
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