Organization
RAVEN ORTHOPAEDICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND B. RAVEN III M.D. (PRESIDENT)
(818) 841-3936
Entity
Organization
Contact information
Practice address
3413 W PACIFIC AVE STE 100, BURBANK, CA 91505-1598
(818) 841-3936
(818) 841-5974
Mailing address
3413 W PACIFIC AVE STE 100, BURBANK, CA 91505-1598
(818) 841-3936
(818) 841-5974
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A66365
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A663650
—
CA
Enumeration date
08/29/2007
Last updated
04/04/2024
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