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Individual

PAULA D RAVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
300 MEDICAL PLAZA, DEPARTMENT OF NEUROLOGY B 200, LOS ANGELES, CA 90025
(310) 206-3183
(310) 206-9819
Mailing address
14804 MAGNOLIA BLVD UNIT 1, SHERMAN OAKS, CA 91403-1313
(508) 728-7337
(310) 206-9819

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
59773
MA
2084N0400X
Neurology Physician
G45656
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3036456
MA
Enumeration date
12/07/2005
Last updated
12/28/2023
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