# HUMBERTO R. RAVELO, INC.

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

## Provider details

- **NPI number:** 1215230370
- **Authorized official:** HUMBERTO ROGELIO RAVELO M.D. (PRESIDENT)
- **Authorized official phone:** (562) 427-4752

## Contact information

- **Practice address:** 2865 ATLANTIC AVE, 215, LONG BEACH, CA 90806-1740
- **Practice address phone:** (562) 427-4752
- **Practice address fax:** (562) 492-6262
- **Mailing address:** 2865 ATLANTIC AVE, 215, LONG BEACH, CA 90806-1740
- **Mailing address phone:** (562) 427-4752
- **Mailing address fax:** (562) 492-6262

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | G42849 | CA | Yes |

## Other

- **Enumeration date:** 12/13/2010
- **Last updated:** 12/13/2010