# RAVID AVRAHAM M.D., INC.

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

## Provider details

- **NPI number:** 1760847800
- **Authorized official:** RAVID AVRAHAM M.D. (OWNER)
- **Authorized official phone:** (718) 213-6543

## Contact information

- **Practice address:** 7150 TAMPA AVE, RESEDA, CA 91335-3700
- **Practice address phone:** (718) 213-6543
- **Practice address fax:** (818) 671-2225
- **Mailing address:** PO BOX 7413, SANTA MONICA, CA 90406-7413
- **Mailing address phone:** (718) 213-6543
- **Mailing address fax:** (818) 671-2225

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | A137313 | CA | Yes |

## Other

- **Enumeration date:** 12/16/2015
- **Last updated:** 09/09/2016