Individual
ANITA RAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9333 IMPERIAL HWY, DOWNEY, CA 90242-2812
(562) 657-9000
Mailing address
9333 IMPERIAL HWY, DOWNEY, CA 90242-2812
(562) 657-9000
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
A12507
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113866
SID # 113866
CA
Enumeration date
02/24/2012
Last updated
11/04/2021
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