LV Medical Group, Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PT 19314 Issued in CA

Legal business name

LV MEDICAL GROUP, INC

Practice address

12826 Victory Blvd
Ste 5
N Hollywood, CA 91606-3013

Phone

(818) 670-8990

Fax

(818) 670-8991

NPI assigned

Aug 19, 2014

Last updated

Aug 19, 2014By 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

Levon Virabov

Title

PT

Phone

(818) 670-8990

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408406400000",
    "number": "1700285301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 MONTEREY RD",
            "address_2": "UNIT 101",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912062052",
            "telephone_number": "818-395-2701",
            "fax_number": "818-549-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12826 VICTORY BLVD",
            "address_2": "STE 5",
            "city": "N HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063013",
            "telephone_number": "818-670-8990",
            "fax_number": "818-670-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LV MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-19",
        "last_updated": "2014-08-19",
        "status": "A",
        "authorized_official_last_name": "VIRABOV",
        "authorized_official_first_name": "LEVON",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "818-670-8990"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "PT 19314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in N Hollywood, CA
• Providers in N Hollywood, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; 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.