Organization
VANOWEN OPTIMAL HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAVI SINGH MD (OWNER)
(310) 850-9297
Entity
Organization
Contact information
Practice address
15243 VANOWEN ST STE 403, VAN NUYS, CA 91405-3611
(818) 836-0608
Mailing address
15243 VANOWEN ST STE 403, VAN NUYS, CA 91405-3611
(818) 836-0608
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A127484
MEDICAL BOARD OF CALIFORNIA
CA
Enumeration date
11/01/2021
Last updated
11/01/2021
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