Organization
HUMBERTO R. RAVELO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUMBERTO ROGELIO RAVELO M.D. (PRESIDENT)
(562) 427-4752
Entity
Organization
Contact information
Practice address
2865 ATLANTIC AVE, 215, LONG BEACH, CA 90806-1740
(562) 427-4752
(562) 492-6262
Mailing address
2865 ATLANTIC AVE, 215, LONG BEACH, CA 90806-1740
(562) 427-4752
(562) 492-6262
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
G42849
CA
Other
Enumeration date
12/13/2010
Last updated
12/13/2010
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