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General NPI Number Information
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NPI Number | 1437621117
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Entity Type | Organization
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Legal Business Name | ACHIEVE BRAIN AND SPINE, INC
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Dates
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Enumeration Date | 12/19/2018
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 2811 WILSHIRE BLVD STE 930
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City | SANTA MONICA
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State | CA
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Zip | 90403-4809
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Country | US
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Telephone | 775-530-9669
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Fax |
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Provider Business Mailing Address
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Address Line | 1314 PINE ST
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City | SANTA MONICA
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State | CA
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Zip | 90405-2612
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Country | US
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Telephone | 775-530-9669
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DEVEN KHOSLA
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Credential | MD
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Telephone | 775-530-9669
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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