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NPI Code Detail

MEDICARE: SECURE DRAW MOBILE INC.

MEDICARE: SECURE DRAW MOBILE INC.
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
1246RP1900XPhlebotomy Technician

General Provider Information

NPI Number : 1174378905
Entity Type Code : Organization
Provider Name (Legal Business Name) : SECURE DRAW MOBILE INC.
Provider Business Mailing Address
First Line : 2450 COLORADO AVE STE 100E
Second Line :
City : SANTA MONICA
State : CA
Zip : 90404-5535
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2450 COLORADO AVE STE 100E
Second Line :
City : SANTA MONICA
State : CA
Zip : 90404-5535
Country : US
Telephone Number : 310-893-1693
Fax Number :
Authorized Official
Title or Position : CEO
Name : SANFORD D JENKINS
Credential :
Telephone Number : 310-893-1693
Provider Enumeration Date : 04/23/2024
Last Update Date : 10/19/2025

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Directions to “SECURE DRAW MOBILE INC. ” Practice Location

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