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Contact Information

ROXANA G GRAVELLE, L. AC.
16200 VENTURA BOULEVARD
403
ENCINO, CA91436
 Phone: 424-888-0339
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for ROXANA G GRAVELLE · (Female)

NPI Number 1265860340
Status Active
Credentials L. AC.
Entity Individual
Enumeration date 10/28/2013
Last updated 10/28/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 15150
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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