Individual
PEYMAN GRAVORI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16311 VENTURA BLVD STE 1065-B, ENCINO, CA 91436-2124
(310) 278-7000
(310) 321-4510
Mailing address
16311 VENTURA BLVD STE 1065-B, ENCINO, CA 91436-2124
(310) 278-7000
(310) 321-4510
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
14719
CA
Other
Enumeration date
02/28/2014
Last updated
10/01/2019
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