Provider Demographics
NPI:1033543962
Name:USURA MEDICAL CORPORATION
Entity Type:Organization
Organization Name:USURA MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:SZCZESNIAK
Authorized Official - Suffix:III
Authorized Official - Credentials:RN
Authorized Official - Phone:909-896-5245
Mailing Address - Street 1:2765 BROOKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-5934
Mailing Address - Country:US
Mailing Address - Phone:909-896-5245
Mailing Address - Fax:951-734-3597
Practice Address - Street 1:2765 BROOKSIDE DR
Practice Address - Street 2:
Practice Address - City:CHINO HILLS
Practice Address - State:CA
Practice Address - Zip Code:91709-5934
Practice Address - Country:US
Practice Address - Phone:909-896-5245
Practice Address - Fax:951-734-3597
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-28
Last Update Date:2013-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies