MEDICARE: TRILINE PRODUCTS, LLC

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	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598829996
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRILINE PRODUCTS, LLC

Provider Business Mailing Address
First Line	:	7027 HAYVENHURST AVENUE
Second Line	:
City	:	VAN NUYS
State	:	CA
Zip	:	91360
Country	:	US
Telephone Number	:	818-779-7250
Fax Number	:	818-455-0654

Provider Business Practice Location Address
First Line	:	7027 HAYVENHURST AVE
Second Line	:
City	:	VAN NUYS
State	:	CA
Zip	:	91406-3802
Country	:	US
Telephone Number	:	818-779-7250
Fax Number	:	818-455-0654

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. SHAWN LIPMAN
Credential	:
Telephone Number	:	818-779-7250

Provider Enumeration Date	:	12/20/2006
Last Update Date	:	08/22/2020

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Directions to “TRILINE PRODUCTS, LLC ” Practice Location

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