MEDICARE: UNITED CARE INC.

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1922207919
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITED CARE INC.

Provider Business Mailing Address
First Line	:	3699 CRENSHAW BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90016-4849
Country	:	US
Telephone Number	:	323-508-0200
Fax Number	:	323-508-0103

Provider Business Practice Location Address
First Line	:	3699 CRENSHAW BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90016-4849
Country	:	US
Telephone Number	:	323-508-0200
Fax Number	:	323-508-0103

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. CRAIG JOSEPH WOODS
Credential	:
Telephone Number	:	323-508-0200

Provider Enumeration Date	:	07/11/2007
Last Update Date	:	07/11/2007

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