MEDICARE: UNITED MEDCARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	55401	CA

General Provider Information

NPI Number	:	1245397512
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITED MEDCARE

Provider Business Mailing Address
First Line	:	1127 WILSHIRE BLVD
Second Line	:	STE 201
City	:	LOS ANGELES
State	:	CA
Zip	:	90017-3901
Country	:	US
Telephone Number	:	213-482-0644
Fax Number	:	213-482-0668

Provider Business Practice Location Address
First Line	:	1127 WILSHIRE BLVD STE 201
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90017-3903
Country	:	US
Telephone Number	:	213-482-0644
Fax Number	:	213-482-0668

Authorized Official
Title or Position	:	PRESIDENT
Name	:	FUNG-WAH CHRIS RUIZ
Credential	:
Telephone Number	:	213-482-0644

Provider Enumeration Date	:	01/03/2007
Last Update Date	:	05/11/2021

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Directions to “UNITED MEDCARE ” Practice Location

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