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Organization
ORTHOPAEDIC SURGERY SPECIALISTS BURBANK
Active
Organization
ORTHOPAEDIC SURGERY SPECIALISTS BURBANK
Active
Parent organization
ORTHOPAEDIC SURGERY SPECIALISTS BURBANK
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHOPAEDIC SURGERY SPECIALISTS BURBANK
Authorized official
RAYMOND BENJAMIN RAVEN MD (AUTHORIZED OFFICIAL)
(818) 841-3936
Entity
Organization
Contact information
Practice address
1505 WILSON TER STE 310, GLENDALE, CA 91206-4073
(818) 563-6757
Mailing address
2625 W ALAMEDA AVE STE 116, BURBANK, CA 91505-4815
(818) 841-3936
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
NULL
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
NULL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
NULL
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
NULL
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
NULL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
Other
Enumeration date
02/01/2019
Last updated
02/01/2019
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