Organization
RAVID AVRAHAM M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAVID AVRAHAM M.D. (OWNER)
(718) 213-6543
Entity
Organization
Contact information
Practice address
7150 TAMPA AVE, RESEDA, CA 91335-3700
(718) 213-6543
(818) 671-2225
Mailing address
PO BOX 7413, SANTA MONICA, CA 90406-7413
(718) 213-6543
(818) 671-2225
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A137313
CA
Other
Enumeration date
12/16/2015
Last updated
09/09/2016
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