# RAVEN ORTHOPAEDICS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043404387
- **Authorized official:** DR. RAYMOND B. RAVEN III M.D. (PRESIDENT)
- **Authorized official phone:** (818) 841-3936

## Contact information

- **Practice address:** 3413 W PACIFIC AVE STE 100, BURBANK, CA 91505-1598
- **Practice address phone:** (818) 841-3936
- **Practice address fax:** (818) 841-5974
- **Mailing address:** 3413 W PACIFIC AVE STE 100, BURBANK, CA 91505-1598
- **Mailing address phone:** (818) 841-3936
- **Mailing address fax:** (818) 841-5974

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | A66365 | CA | Yes |

## Other

- **Enumeration date:** 08/29/2007
- **Last updated:** 04/04/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A663650 | — | CA |