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Organization

VALLEY REGENERATIVE AND PAIN CLINIC

Active
Other names
Vitalis Regenerative & Pain Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BEHNOOSH BEHDAD RAHAVARD MD (CEO)
(310) 759-1559
Entity
Organization

Contact information

Practice address
5400 BALBOA BLVD STE 141, ENCINO, CA 91316-5203
(310) 759-1559
(310) 759-1560
Mailing address
5400 BALBOA BLVD STE 141, ENCINO, CA 91316-5203
(310) 759-1559
(310) 759-1560

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary

Other

Enumeration date
05/19/2023
Last updated
03/10/2025
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