Individual
RAVI HARSHAD DAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2020 SANTA MONICA BLVD STE 220, SANTA MONICA, CA 90404-2124
(310) 582-6220
(310) 582-6222
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A53150
CA
207RC0000X
Cardiovascular Disease Physician
Primary
A53150
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A531500
—
CA
Enumeration date
07/14/2006
Last updated
03/17/2022
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