Provider Demographics
NPI:1184843674
Name:UZEES MEDICAL SUPPLY, INC
Entity Type:Organization
Organization Name:UZEES MEDICAL SUPPLY, INC
Other - Org Name:UZEES MEDICAL SUPPLY, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ETHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BIOSAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-645-1925
Mailing Address - Street 1:8632 S SEPULVEDA BLVD
Mailing Address - Street 2:SUITE 105A
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-4013
Mailing Address - Country:US
Mailing Address - Phone:310-645-1925
Mailing Address - Fax:
Practice Address - Street 1:8632 S SEPULVEDA BLVD
Practice Address - Street 2:SUITE 105A
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90045-4013
Practice Address - Country:US
Practice Address - Phone:310-645-1925
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48992332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA6002350001Medicare NSC