Provider Demographics
NPI:1902218357
Name:ULTRAMED SOLUTIONS INC
Entity Type:Organization
Organization Name:ULTRAMED SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:P
Authorized Official - Last Name:GALLEGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-688-8673
Mailing Address - Street 1:233 PAULIN AVE # 5881
Mailing Address - Street 2:
Mailing Address - City:CALEXICO
Mailing Address - State:CA
Mailing Address - Zip Code:92231-2615
Mailing Address - Country:US
Mailing Address - Phone:858-688-8673
Mailing Address - Fax:866-889-2773
Practice Address - Street 1:233 PAULIN AVE # 5881
Practice Address - Street 2:
Practice Address - City:CALEXICO
Practice Address - State:CA
Practice Address - Zip Code:92231-2615
Practice Address - Country:US
Practice Address - Phone:858-688-8673
Practice Address - Fax:866-889-2773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-20
Last Update Date:2014-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty