Pavel Gryunshpan Chiropractic Inc

Primary specialty

Internist ChiropractorTaxonomy code 111NI0900X

License

DC29542 Issued in CA

Legal business name

PAVEL GRYUNSHPAN CHIROPRACTIC INC

Practice address

425 S Fairfax Ave # 201
Los Angeles, CA 90036-3148

Phone

(323) 936-0149

Fax

(323) 936-0173

NPI assigned

Sep 28, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Pavel Gryunshpan, D.C.

Title

Owner

Phone

(323) 936-0149

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Natalia Tilki, D.O.

  • Ophthalmology Physician
  • Encino, CA
  • NPI 1790793248
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225120587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 S FAIRFAX AVE # 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900363148",
            "telephone_number": "323-936-0149",
            "fax_number": "323-936-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S FAIRFAX AVE # 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900363148",
            "telephone_number": "323-936-0149",
            "fax_number": "323-936-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAVEL GRYUNSHPAN CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRYUNSHPAN",
        "authorized_official_first_name": "PAVEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-936-0149",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "CA",
            "license": "DC29542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Gibbs Paulseth, PT DPT SCS ATC
• Laura Jane Paulson, LMFT
• Victoria H Paulson
• Gautham Pavar
• Shital Pavawalla, PH.D.
• Clara Ivet Pavesi-Krieger, MD
• Geraldine Pavez, ACNP
• Tom Pavich, LMFT
• Pavilion Healthcare Center LLC (Pavilion Healthcare Center)
• Pavilion on Pico Healthcare & Wellness Centre, LP

• Internist Chiropractor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Internist Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.