ACT-LINE MEDICAL, INC., A PROFESSIONAL MEDICAL CORPORATION – NPI #1790204139
Neurological Surgery

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

ACT-LINE MEDICAL, INC., A PROFESSIONAL MEDICAL CORPORATION is a neurological surgeon located in ENCINO, CA. NPPES has assigned the NPI number 1790204139 to ACT-LINE MEDICAL, INC., A PROFESSIONAL MEDICAL CORPORATION on September 18, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207T00000X from the Health Care Provider Taxonomy code set, which is classified as Neurological Surgery.

The NPI profile was previously updated about 3 years ago on Apr 13, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ACT-LINE MEDICAL, INC., A PROFESSIONAL MEDICAL CORPORATION below.

NPI Profile for
ACT-LINE MEDICAL, INC., A PROFESSIONAL MEDICAL CORPORATION

NPI Number
1790204139
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ACT-LINE MEDICAL, INC., A PROFESSIONAL MEDICAL CORPORATION
Primary location
16311 VENTURA BLVD STE 106
ENCINO, CA 91436-2124
Phone: (310) 278-7000 Fax: (310) 321-4510
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TOORAJ GRAVORI
PRESIDENT
Phone: (310) 755-8333
Updated
Certification Date
Apr 13, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207T00000X
- Neurological Surgery (Primary)
CA 75506
208VP0000X
- Pain Medicine / Pain Medicine
CA 14719

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.