Organization
SECURELINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARSEN DADYAN (PRESIDENT)
(818) 788-8558
Entity
Organization
Contact information
Practice address
5158 VAN NUYS BLVD, SHERMAN OAKS, CA 91403-1401
(818) 788-8558
(818) 788-8668
Mailing address
5158 VAN NUYS BLVD, SHERMAN OAKS, CA 91403-1401
(818) 788-8558
(818) 788-8668
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03049F
MEDI-CAL
CA
Enumeration date
11/01/2006
Last updated
01/23/2008
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