Organization
IN-LINE MEDICAL, INC., A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOORAJ TODD GRAVORI M.D. (AUTHORIZED OFFICIAL)
(310) 278-7000
Entity
Organization
Contact information
Practice address
1127 WILSHIRE BLVD STE 510, LOS ANGELES, CA 90017-3906
(424) 217-1301
(424) 217-1302
Mailing address
16350 VENTURA BLVD # D569, ENCINO, CA 91436-5300
(424) 217-1301
(424) 217-1302
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
01/09/2020
Last updated
01/09/2020
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