Organization
KALPANA RAVIKUMAR MD INC
Active
Other names
A V Pain Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KALPANA RAVIKUMAR MD (PRESIDENT)
(661) 945-4563
Entity
Organization
Contact information
Practice address
44215 15TH STREET WEST, SUITE 114, LANCASTER, CA 93534-5503
(661) 945-4563
(661) 945-2344
Mailing address
44215 15TH STREET WEST, SUITE 114, LANCASTER, CA 93534-5503
(661) 945-4563
(661) 945-2344
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A35711
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A357110
—
CA
Enumeration date
09/20/2006
Last updated
03/07/2023
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