Healthcare Provider Details

I. General information

NPI: 1326317199
Provider Name (Legal Business Name): UNIFIED HEALTH INSURANCE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2011
Last Update Date: 04/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

708 PRESCOTT LN
FOSTER CITY CA
94404-3731
US

IV. Provider business mailing address

708 PRESCOTT LN
FOSTER CITY CA
94404-3731
US

V. Phone/Fax

Practice location:
  • Phone: 650-533-7802
  • Fax:
Mailing address:
  • Phone: 650-533-7802
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MS. CLAUDIO NICOLOSI
Title or Position: DIRECTOR
Credential:
Phone: 650-533-7802