Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ultra Med Supply Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1124829932

Ultra Med Supply Inc is a Durable Medical Equipment & Medical Supplies in Hawthorne, California. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14030 Kornblum Ave Apt 204
Hawthorne, CA 90250
Phone: (408) 622-0120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X

Record details

NPI number1124829932
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alex John — Manager · (408) 622-0120
NPI enumeratedMarch 19, 2025
Last updated in NPPESMarch 19, 2025
Certification dateMarch 19, 2025
Mailing address14030 Kornblum Ave Apt 204, Hawthorne, CA 90250

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