# IN-LINE MEDICAL, INC., A PROFESSIONAL MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285274035
- **Authorized official:** DR. TOORAJ TODD GRAVORI M.D. (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (310) 278-7000

## Contact information

- **Practice address:** 1127 WILSHIRE BLVD STE 510, LOS ANGELES, CA 90017-3906
- **Practice address phone:** (424) 217-1301
- **Practice address fax:** (424) 217-1302
- **Mailing address:** 16350 VENTURA BLVD \# D569, ENCINO, CA 91436-5300
- **Mailing address phone:** (424) 217-1301
- **Mailing address fax:** (424) 217-1302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/09/2020
- **Last updated:** 01/09/2020