Provider Demographics
NPI:1588072110
Name:UNIMED CORPORATION
Entity type:Organization
Organization Name:UNIMED CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ADELINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-363-1500
Mailing Address - Street 1:17050 CHATSWORTH ST STE 210
Mailing Address - Street 2:
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344-5891
Mailing Address - Country:US
Mailing Address - Phone:818-363-1500
Mailing Address - Fax:818-363-6600
Practice Address - Street 1:20301 VENTURA BLVD STE 352
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-2472
Practice Address - Country:US
Practice Address - Phone:818-992-7960
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-28
Last Update Date:2014-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA980001038251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA557789Medicare Oscar/Certification