Organization
ORTHOPAEDIC SURGERY SPECIALISTS BURBANK
Active
Parent organization
ORTHOPAEDIC SURGERY SPECIALISTS BURBANK
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHOPAEDIC SURGERY SPECIALISTS BURBANK
Authorized official
DR. RAYMOND BENJAMIN RAVEN MD (CEO)
(818) 841-3936
Entity
Organization
Contact information
Practice address
1505 WILSON TER STE 310, GLENDALE, CA 91206-4073
(818) 237-2248
(818) 676-9882
Mailing address
2625 W ALAMEDA AVE STE 116, BURBANK, CA 91505-4815
(818) 563-6757
(818) 563-6755
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
—
—
Other
Enumeration date
05/03/2019
Last updated
05/03/2019
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