Healthcare Provider Details

I. General information

NPI: 1700726973
Provider Name (Legal Business Name): GHURABI MEDICAL INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7966 BEVERLY BLVD
LOS ANGELES CA
90048-4511
US

IV. Provider business mailing address

14320 VENTURA BLVD UNIT 1089
SHERMAN OAKS CA
91423-2717
US

V. Phone/Fax

Practice location:
  • Phone: 310-200-4367
  • Fax:
Mailing address:
  • Phone: 310-200-4367
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RA0401X
TaxonomyAddiction Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RAFFI GHURABI
Title or Position: PRESIDENT
Credential: DO
Phone: 310-200-4367