Organization
JAYANTHI RAVIKUMAR MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAYANTHI RAVIKUMAR MD (MD)
(714) 313-6060
Entity
Organization
Contact information
Practice address
3356 W BALL ROAD, #216, ANAHEIM, CA 92804
(714) 226-0818
(714) 226-0202
Mailing address
3356 W BALL ROAD, #216, ANAHEIM, CA 92804
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
CA
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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