Provider Demographics
NPI:1447340344
Name:UNIQUE MEDICAL EQUIPMENT CO LLC
Entity type:Organization
Organization Name:UNIQUE MEDICAL EQUIPMENT CO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:CAYETANA
Authorized Official - Middle Name:MUTOT
Authorized Official - Last Name:MANIQUIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-864-0128
Mailing Address - Street 1:13301 1/2 SAN ANTONIO DR
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CA
Mailing Address - Zip Code:90650
Mailing Address - Country:US
Mailing Address - Phone:562-864-0128
Mailing Address - Fax:562-864-8377
Practice Address - Street 1:13301 1/2 SAN ANTONIO DR
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CA
Practice Address - Zip Code:90650
Practice Address - Country:US
Practice Address - Phone:562-864-0128
Practice Address - Fax:562-864-8377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADME03033FMedicaid
CA3986280001Medicare ID - Type Unspecified