Individual
DR. RAYMOND BENJAMIN RAVEN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8635 W 3RD ST STE 990W, LOS ANGELES, CA 90048-6116
(310) 423-5900
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A66365
CA
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
A66365
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A663650
—
CA
Enumeration date
10/26/2005
Last updated
05/06/2024
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