Organization
CALIFORNIA HAND & UPPER EXTREMITY SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND BENJAMIN RAVEN III M.D. (PRESIDENT & CEO)
(818) 841-3936
Entity
Organization
Contact information
Practice address
1245 WILSHIRE BLVD STE 611, LOS ANGELES, CA 90017-4806
(818) 841-3936
(818) 841-5974
Mailing address
2625 W ALAMEDA AVE STE 116, BURBANK, CA 91505-4815
(818) 841-3936
(818) 841-5974
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A66365
CA
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
A66365
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
A66365
CA
Other
Enumeration date
02/19/2014
Last updated
12/09/2014
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