Healthcare Provider Details

I. General information

NPI: 1942216577
Provider Name (Legal Business Name): UNICARE DIAGNOSTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3271 GRANDE VISTA DR
NEWBURY PARK CA
91320-1193
US

IV. Provider business mailing address

3271 GRANDE VISTA DR
NEWBURY PARK CA
91320-1193
US

V. Phone/Fax

Practice location:
  • Phone: 805-375-0033
  • Fax: 805-375-3972
Mailing address:
  • Phone: 805-375-0033
  • Fax: 805-375-3972

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberPHY45291
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: SCOTT VOLD
Title or Position: CEO AND PRESIDENT
Credential:
Phone: 800-400-6333