Individual
DR. RAVEEN THEKKEURIMBIL RAVIENDRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3020 CHILDRENS WAY, SAN DIEGO, CA 92123-4223
(858) 576-1700
Mailing address
3020 CHILDRENS WAY, MC5003, SAN DIEGO, CA 92123-4223
(858) 576-1700
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A 108610
CA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
A 108610
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700081080
—
CA
Enumeration date
06/18/2007
Last updated
02/24/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us