IN-LINE MEDICAL, INC., A PROFESSIONAL MEDICAL CORPORATION (NPI# 1285274035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285274035 |
| Entity Type | Organization |
| Organization Name | IN-LINE MEDICAL, INC., A PROFESSIONAL MEDICAL CORPORATION |
| Practice Address |
1127 Wilshire Blvd Ste 510 Los Angeles CA 90017-3906 |
| Mailing Address |
16350 Ventura Blvd # D569 Encino CA 91436-5300 |
| Practice Telephone | 4242171301 |
| Practice Fax Number | 4242171302 |
| Mailing Telephone | 4242171301 |
| Mailing Fax Number | 4242171302 |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2020-01-09 |
| Authorized Official Name | DR. TOORAJ TODD GRAVORI (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 3102787000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982123329 | In-line Medical, Inc., A Professional Medical Corporation | Pain Medicine | 16311 Ventura Blvd Ste 1065-b, Encino, CA 91436-2124 | 2017-09-18 |
| Street Address |
1127 WILSHIRE BLVD STE 510 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90017-3906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831540020 | Elizabeth Gallardo-defranco | Dietitian, Registered | 1127 Wilshire Blvd Ste 510, Los Angeles, CA 90017-3906 | 2016-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833617 | Guadalupe Vallejo | Licensed Vocational Nurse | 515 Columbia Avenue, #200, 515 Columbia Avenue, Los Angeles, CA 90017 | 2020-08-25 |
| 1376181768 | Nirlok Corporation | Optometrist | 750 West 7th Street, Los Angeles, CA 90017 | 2019-12-16 |
| 1689228223 | Marycarmen Beltran | Student in an Organized Health Care Education/Training Program | 333 S. Beaudry Ave., Los Angeles, CA 90017 | 2019-08-01 |
| 1639661465 | Robin B Horowitz | Counselor | 333 South Beaudry Avenue, Los Angeles, CA 90017 | 2018-06-06 |
| 1710483797 | Rose Jadidian | Pharmacist | 701 S. Flower, Ste. 3150, Los Angeles, CA 90017 | 2018-03-30 |
| 1417469875 | Marykarla Gallegos | Case Manager/Care Coordinator | 1125 W. 6th St., Suite 103, Los Angeles, CA 90017 | 2017-10-25 |
| 1134646516 | Maria Salas | Rehabilitation Practitioner | 333 S Beaudry Ave., Los Angeles, CA 90017 | 2017-08-25 |
| 1932638202 | Butterfli Technologies Inc | Transportation Broker | 865 S Figueroa St Ste 2750, Los Angeles, CA 90017 | 2017-06-08 |
| 1316493125 | Phamily Love Foundation | Community/Behavioral Health | 626 Wilshire Blvd ., Suite 910, Los Angeles, CA 90017 | 2016-08-31 |
| 1215392188 | Jessica R. Garcia-hillard | Specialist/Technologist | 1111 W. 6th St., Suite 111, Los Angeles, CA 90017 | 2015-12-21 |
| Find all providers in zip 90017 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578871356 | Hyun-chang Choi | Physical Medicine & Rehabilitation | 1110 S Lake St Apt 307, Los Angeles, CA 90006-3688 | 2010-09-15 |
| 1801118716 | Kenith K Paresa, Md A Professional Corp | Physical Medicine & Rehabilitation | 1964 Westwood Blvd Ste 435, Los Angeles, CA 90025 | 2010-02-18 |
| 1710041504 | Paul Leonard | Physical Medicine & Rehabilitation | 5266 W Olympic Blvd, Los Angeles, CA 90036-4916 | 2006-12-19 |
| 1437179934 | Bipin B Bharatwal | Physical Medicine & Rehabilitation | 11728 Dorothy St, Apt 309, Los Angeles, CA 90049-5560 | 2006-07-20 |
| 1891202263 | Edward K. Pang Medical Corporation | Physical Medicine & Rehabilitation | 444 S San Vicente Blvd Ste 901, Los Angeles, CA 90048-4174 | 2018-01-06 |
| 1386031201 | Eric Sun | Physical Medicine & Rehabilitation | 1520 San Pablo St Ste 2000, Los Angeles, CA 90033 | 2015-04-17 |
| 1861810368 | Ian Dworkin | Physical Medicine & Rehabilitation | 8436 W 3rd St Ste 800, Los Angeles, CA 90048-4100 | 2014-04-01 |
| 1942540224 | Active Pain Relief Inc | Physical Medicine & Rehabilitation | 4601 Wilshire Blvd, 3rd Floor, Los Angeles, CA 90010-3880 | 2013-02-22 |
| 1285920090 | Edward Pang | Physical Medicine & Rehabilitation | 11301 Wilshire Blvd, Mail #117, Los Angeles, CA 90073-1003 | 2011-06-21 |
| 1861622490 | Radiance Health Group, Inc | Physical Medicine & Rehabilitation | 11860 Wilshire Blvd, Ste 100, Los Angeles, CA 90025-6613 | 2009-07-16 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90017 |
Please comment or provide details below to improve the information on IN-LINE MEDICAL, INC., A PROFESSIONAL MEDICAL CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.