Organization
PEYMAN GRAVORI, D.O. INC., A PROFESSIONAL MEDICAL CORPORATION
Active
Organization
PEYMAN GRAVORI, D.O. INC., A PROFESSIONAL MEDICAL CORPORATION
Active
Other names
Advanced California Pain Relief
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEYMAN GRAVORI DO (CEO)
(310) 278-7000
Entity
Organization
Contact information
Practice address
16311 VENTURA BLVD STE 1065-B, ENCINO, CA 91436-2124
(310) 278-7000
Mailing address
16311 VENTURA BLVD STE 1065-B, ENCINO, CA 91436-2124
(310) 278-7000
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
20A14719
CA
Other
Enumeration date
05/15/2017
Last updated
07/21/2022
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