Provider Demographics
NPI:1497226138
Name:UI MEDICAL, LLC
Entity Type:Organization
Organization Name:UI MEDICAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NICOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:SOICHET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-206-2816
Mailing Address - Street 1:555 E OCEAN BLVD STE 430
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90802-5091
Mailing Address - Country:US
Mailing Address - Phone:800-206-2816
Mailing Address - Fax:
Practice Address - Street 1:555 E OCEAN BLVD STE 430
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90802-5091
Practice Address - Country:US
Practice Address - Phone:800-206-2816
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-06
Last Update Date:2018-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies