# PACIFIC COAST ORTHOPEDICS INC

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

## Provider details

- **NPI number:** 1629143581
- **Authorized official:** RICHARD V RAVALIN MD (PRESIDENT/OWNER)
- **Authorized official phone:** (831) 648-8600

## Contact information

- **Practice address:** 101 WILSON RD, MONTEREY, CA 93940-7864
- **Practice address phone:** (831) 648-8600
- **Practice address fax:** (831) 920-3400
- **Mailing address:** 19 UPPER RAGSDALE DR STE 150, MONTEREY, CA 93940-7837
- **Mailing address phone:** (831) 464-6200
- **Mailing address fax:** (831) 464-6204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | A71729 | CA | Yes |

## Other

- **Enumeration date:** 11/22/2006
- **Last updated:** 08/19/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A717292 | — | CA |