Organization
SMART HEALTH & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND BENJAMIN RAVEN (CEO & PARTNER)
(818) 579-2362
Entity
Organization
Contact information
Practice address
27372 ALISO CREEK RD STE 200, ALISO VIEJO, CA 92656-5339
(949) 520-1012
(949) 520-1045
Mailing address
27372 ALISO CREEK RD STE 200, ALISO VIEJO, CA 92656-5339
(818) 579-2362
(818) 579-2377
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
Other
Enumeration date
02/10/2022
Last updated
11/28/2023
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