Aysola, Ravi Shankar

Aysola, Ravi Shankar is an individual health care provider with primary practice located at 1223 16Th St Ste 3400 , Santa Monica CA 90404-1279. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Aysola, Ravi Shankar can be contacted via phone (310) 449-0939.

Contact Information

Primary practice address
1223 16Th St Ste 3400 Santa Monica CA 90404-1279
Phone: (310) 449-0939
Fax: (424) 259-7790
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A102842 California
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X A102842 California
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X A102842 California
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X A102842 California

Profile Details

NPI number 1710008834
LBN Legal business name Aysola, Ravi Shankar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2007
Last updated Jan 6th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710008834 NPPES
California MEDICAID 0A1028420

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