Healthcare Provider Details

I. General information

NPI: 1972855476
Provider Name (Legal Business Name): UNICON WORLD WIDE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2012
Last Update Date: 10/08/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4201 WILSHIRE BLVD STE 124
LOS ANGELES CA
90010-3602
US

IV. Provider business mailing address

4201 WILSHIRE BLVD STE 124
LOS ANGELES CA
90010-3602
US

V. Phone/Fax

Practice location:
  • Phone: 323-456-0401
  • Fax:
Mailing address:
  • Phone: 323-456-0401
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. LEENA ANEJA
Title or Position: PRESIDENT
Credential:
Phone: 310-699-4718