# CALIFORNIA HAND & UPPER EXTREMITY SPECIALISTS

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

## Provider details

- **NPI number:** 1871918474
- **Authorized official:** DR. RAYMOND BENJAMIN RAVEN III M.D. (PRESIDENT & CEO)
- **Authorized official phone:** (818) 841-3936

## Contact information

- **Practice address:** 1245 WILSHIRE BLVD STE 611, LOS ANGELES, CA 90017-4806
- **Practice address phone:** (818) 841-3936
- **Practice address fax:** (818) 841-5974
- **Mailing address:** 2625 W ALAMEDA AVE STE 116, BURBANK, CA 91505-4815
- **Mailing address phone:** (818) 841-3936
- **Mailing address fax:** (818) 841-5974

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | A66365 | CA | — |
| 207XS0106X | Orthopaedic Hand Surgery Physician | A66365 | CA | Yes |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | A66365 | CA | — |

## Other

- **Enumeration date:** 02/19/2014
- **Last updated:** 12/09/2014