Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Act-Line Medical, Inc , a Professional Medical Corporation

Organization Neurological Surgery Physician · NPI 1790204139

Act-Line Medical, Inc , a Professional Medical Corporation provides Neurological Surgery Physician services in Encino, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16311 Ventura Blvd Ste 106
Encino, CA 91436-2124
Phone: (310) 278-7000
Fax: (310) 321-4510
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 75506 (CA)
Pain Medicine Physician Taxonomy 208VP0000X · Licence 14719 (CA)

Record details

NPI number1790204139
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tooraj Gravori — President · (310) 755-8333
NPI enumeratedSeptember 18, 2017
Last updated in NPPESApril 13, 2023
Certification dateApril 13, 2023
Mailing address16311 Ventura Blvd Ste 106, Encino, CA 91436-2124

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