Organization
ARC-LINE MEDICAL , INC.
Active
Organization
ARC-LINE MEDICAL , INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEYMAN GRAVORI DO (DIRECTOR)
(310) 620-2727
Entity
Organization
Contact information
Practice address
1127 WILSHIRE BLVD STE 510, LOS ANGELES, CA 90017-3906
(310) 620-2727
(310) 620-2726
Mailing address
9662 SANTA MONICA BLVD, #882, BEVERLY HILS, CA 90210-4303
(310) 620-2727
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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