Individual
DR. RAVI PRAKASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4305 TORRANCE BLVD, STE 405, TORRANCE, CA 90503-4407
(310) 214-5433
(310) 214-4103
Mailing address
4305 TORRANCE BLVD, STE 405, TORRANCE, CA 90503-4407
(310) 214-5433
(310) 214-4103
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A24484
CA
Other
Enumeration date
06/10/2005
Last updated
06/02/2011
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