# RAVEN ORTHOPAEDIC, INC

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

## Provider details

- **NPI number:** 1891968509
- **Authorized official:** MR. RAYMOND B RAVEN III M.D. (PRESIDENT)
- **Authorized official phone:** (818) 841-3936

## Contact information

- **Practice address:** 340 DARDANELLI LN, SUITE 14A, LOS GATOS, CA 95032-1418
- **Practice address phone:** (408) 866-0441
- **Practice address fax:** (408) 866-1926
- **Mailing address:** 2625 W ALAMEDA AVE, SUITE 116, BURBANK, CA 91505-4806
- **Mailing address phone:** (818) 841-3936
- **Mailing address fax:** (818) 841-5974

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207XS0106X | Orthopaedic Hand Surgery Physician | A66365 | CA | Yes |

## Other

- **Enumeration date:** 04/02/2008
- **Last updated:** 12/15/2008