# RAVI PANJABI, M.D., INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RAVI PANJABI, M.D., INC.
- **Other names:** Advanced Pain Management & Rehab Medical Group, Inc.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1003138694
- **Legal business name:** RAVI PANJABI, M.D., INC.
- **Authorized official:** RAVI PANJABI M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (510) 582-8555

## Contact information

- **Practice address:** 19850 LAKE CHABOT RD, CASTRO VALLEY, CA 94546-4002
- **Practice address phone:** (510) 582-8555
- **Mailing address:** 2980 N BEVERLY GLEN CIR STE 301, LOS ANGELES, CA 90077-1735
- **Mailing address phone:** (310) 474-9809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | A55600 | CA | Yes |

## Other

- **Enumeration date:** 02/23/2010
- **Last updated:** 10/27/2011
