Out-Line Medical, Inc., a Professional Medical Corporation

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

75506 Issued in CA

Legal business name

OUT-LINE MEDICAL, INC., A PROFESSIONAL MEDICAL CORPORATION

Practice address

16311 Ventura Blvd Ste 1065
Encino, CA 91436-4349

Phone

(424) 217-1292

Fax

(424) 217-1293

NPI assigned

Sep 15, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Tooraj Gravori, M.D.

Title

President

Phone

(310) 755-8333

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681344000000",
    "number": "1578082038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16311 VENTURA BLVD STE 1065",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364349",
            "telephone_number": "424-217-1292",
            "fax_number": "424-217-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16311 VENTURA BLVD STE 1065",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364349",
            "telephone_number": "424-217-1292",
            "fax_number": "424-217-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUT-LINE MEDICAL, INC., A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-15",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A",
        "authorized_official_last_name": "GRAVORI",
        "authorized_official_first_name": "TOORAJ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-755-8333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "75506",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "14719",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Osteon Surgery Center, Inc
• Taibat Iyabode Osuro
• Felicia A. Ota, M.D.
• Kelly Otazu
• Orna Ourshalimi, DDS
• Danielle Miriam Ovadia, PA-C
• Ani Ovsepian, PA-C
• Carol Jean Owen, PHD
• Elexis Owens
• Oxstrong, Inc.

• Neurological Surgery Physician in Encino, CA
• Providers in Encino, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.