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Contact Information

PEYMAN GRAVORI, D.O. INC., A PROFESSIONAL MEDICAL CORPORATION
16311 VENTURA BLVD STE 655
ENCINO, CA91436
 Phone: 310-620-2727
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
Indicates primary specialty

NPI Profile & details for PEYMAN GRAVORI, D.O. INC., A PROFESSIONAL MEDICAL CORPORATION

NPI # 1992232581
LBN Legal business name PEYMAN GRAVORI, D.O. INC., A PROFESSIONAL MEDICAL CORPORATION
Authorized official PEYMAN GRAVORI - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/15/2017
Last updated 07/21/2022 - About 4 years ago
Identifiers
CA License # 20A14719
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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