Organization
LV MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEVON VIRABOV (PT)
(818) 670-8990
Entity
Organization
Contact information
Practice address
12826 VICTORY BLVD, STE 5, N HOLLYWOOD, CA 91606-3013
(818) 670-8990
(818) 670-8991
Mailing address
222 MONTEREY RD, UNIT 101, GLENDALE, CA 91206-2052
(818) 395-2701
(818) 549-9779
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT 19314
CA
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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