Provider Demographics
NPI:1962855205
Name:UNIVERSAL MEDICAL SOLUTIONS LLC
Entity Type:Organization
Organization Name:UNIVERSAL MEDICAL SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:DUANE
Authorized Official - Last Name:BELL
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:713-366-9505
Mailing Address - Street 1:10020 PROSPECT AVE STE A1
Mailing Address - Street 2:
Mailing Address - City:SANTEE
Mailing Address - State:CA
Mailing Address - Zip Code:92071-4358
Mailing Address - Country:US
Mailing Address - Phone:619-642-9099
Mailing Address - Fax:188-838-8907
Practice Address - Street 1:10020 PROSPECT AVE STE A1
Practice Address - Street 2:
Practice Address - City:SANTEE
Practice Address - State:CA
Practice Address - Zip Code:92071
Practice Address - Country:US
Practice Address - Phone:619-642-9099
Practice Address - Fax:188-838-8907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-22
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies