Healthcare Provider Details

I. General information

NPI: 1346508512
Provider Name (Legal Business Name): MEDLINE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2012
Last Update Date: 03/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2326 N BATAVIA ST STE 101
ORANGE CA
92865-2020
US

IV. Provider business mailing address

2326 N BATAVIA ST STE # 101
ORANGE CA
92865-2020
US

V. Phone/Fax

Practice location:
  • Phone: 714-770-8770
  • Fax: 866-306-0457
Mailing address:
  • Phone: 714-770-8770
  • Fax: 866-306-0457

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MR. NAREK MIKE TOROSIAN
Title or Position: PRESIDENT
Credential:
Phone: 818-257-9984