# ORTHOPAEDIC SURGERY SPECIALISTS BURBANK

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ORTHOPAEDIC SURGERY SPECIALISTS BURBANK
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1326503590
- **Legal business name:** ORTHOPAEDIC SURGERY SPECIALISTS BURBANK
- **Authorized official:** RAYMOND BENJAMIN RAVEN MD (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (818) 841-3936

## Contact information

- **Practice address:** 1505 WILSON TER STE 310, GLENDALE, CA 91206-4073
- **Practice address phone:** (818) 563-6757
- **Mailing address:** 2625 W ALAMEDA AVE STE 116, BURBANK, CA 91505-4815
- **Mailing address phone:** (818) 841-3936

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 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