Active NPI
Active Pain Relief Inc
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Los Angeles, CA
National Provider Identifier
1942540224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Legal business name
- ACTIVE PAIN RELIEF INC
- Practice address
- 4601 Wilshire Blvd
3Rd Floor
Los Angeles, CA 90010-3880 - Phone
- (323) 556-3470
- NPI assigned
- Feb 22, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Igor Boyarsky, DO
- Title
- President
- Phone
- (323) 556-3470
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | Primary |
Addresses
Primary practice location
4601 Wilshire Blvd
3Rd Floor
Los Angeles, CA 90010-3880
Mailing address
815 S Central Ave
10
Glendale, CA 91204-2046
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361491200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1361491200000",
"number": "1942540224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 S CENTRAL AVE",
"address_2": "10",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912042046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4601 WILSHIRE BLVD",
"address_2": "3RD FLOOR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900103880",
"telephone_number": "323-556-3470"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACTIVE PAIN RELIEF INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-22",
"last_updated": "2013-02-22",
"status": "A",
"authorized_official_last_name": "BOYARSKY",
"authorized_official_first_name": "IGOR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "323-556-3470",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.