Organization
BVM THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAPHAEL DARVISH M.D. (AUTHORIZED SIGNATORY)
(310) 826-2555
Entity
Organization
Contact information
Practice address
11611 SAN VICENTE BLVD, #GF1, LOS ANGELES, CA 90049-5106
(310) 820-0013
(310) 207-2630
Mailing address
11611 SAN VICENTE BLVD, #GF1, LOS ANGELES, CA 90049-5106
(310) 820-0013
(310) 207-2630
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
A92794
CA
Other
Enumeration date
03/13/2016
Last updated
03/13/2016
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