Individual
DR. JAYANTHI RAVIKUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5451 LA PALMA AVE, SUITE 47, LA PALMA, CA 90623-1732
(714) 226-0818
(714) 226-0202
Mailing address
3356 W. BALL ROAD, SUITE 216, ANAHEIM, CA 92804
(714) 226-0818
(714) 226-0202
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A33094
CA
Other
Enumeration date
05/23/2006
Last updated
04/18/2013
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