Organization
RAVONKAVI SERVICES
Active
Other names
Ravonkavi Services, Ravonkavi
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOMAYOUN SHAHRI PHD (FOUNDER)
(949) 391-7790
Entity
Organization
Contact information
Practice address
23331 EL TORO RD STE 208, LAKE FOREST, CA 92630-4883
(949) 391-7790
Mailing address
32732 BALLENA, DANA POINT, CA 92629-4157
(949) 436-2127
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285972257
NPI
—
Enumeration date
10/15/2020
Last updated
10/15/2020
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