Individual
JOHN RAVERA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16100 SAND CANYON AVE, STE 240, IRVINE, CA 92618-3724
(949) 640-2081
(949) 640-1909
Mailing address
16100 SAND CANYON AVE, STE 240, IRVINE, CA 92618-3724
(949) 640-2081
(949) 640-1909
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A333549
CA
208800000X
Urology Physician
C28250
CA
Other
Enumeration date
12/20/2005
Last updated
02/05/2020
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