Healthcare Provider Details

I. General information

NPI: 1942245832
Provider Name (Legal Business Name): SEKA GLOBAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11755 VICTORY BLVD SUITE 206
N HOLLYWOOD CA
91606-3423
US

IV. Provider business mailing address

11755 VICTORY BLVD SUITE 206
N HOLLYWOOD CA
91606-3423
US

V. Phone/Fax

Practice location:
  • Phone: 818-762-9883
  • Fax: 818-762-3732
Mailing address:
  • Phone: 818-762-9883
  • Fax: 818-762-3732

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number00024479
License Number StateCA

VIII. Authorized Official

Name: TEVAN KAGRAMANYAN
Title or Position: CEO
Credential:
Phone: 818-762-9883