Provider Demographics
NPI:1992764153
Name:UNICARE MEDICAL EQUIPMENT & SUPPLY
Entity type:Organization
Organization Name:UNICARE MEDICAL EQUIPMENT & SUPPLY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ARNEL
Authorized Official - Middle Name:I
Authorized Official - Last Name:MASAKAYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-229-1832
Mailing Address - Street 1:3414 W BALL RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92804-3726
Mailing Address - Country:US
Mailing Address - Phone:714-229-1832
Mailing Address - Fax:714-229-4972
Practice Address - Street 1:3414 W BALL RD
Practice Address - Street 2:SUITE D
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804-3726
Practice Address - Country:US
Practice Address - Phone:714-229-1832
Practice Address - Fax:714-229-4972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1174050001Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER