Healthcare Provider Details

I. General information

NPI: 1295531689
Provider Name (Legal Business Name): LAVINA MEDICAL SOLUTION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2025
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2108 N ST STE N
SACRAMENTO CA
95816-5712
US

IV. Provider business mailing address

2108 N ST # 9506
SACRAMENTO CA
95816-5712
US

V. Phone/Fax

Practice location:
  • Phone: 661-200-0750
  • Fax: 661-200-0750
Mailing address:
  • Phone: 661-200-0750
  • Fax: 661-200-0750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: HAROON SALEEM
Title or Position: OWNER
Credential:
Phone: 661-200-0750