Raven, Raymond Benjamin
Raven, Raymond Benjamin is an individual health care provider with primary practice located at 8635 W 3Rd St Ste 990W , Los Angeles CA 90048-6116. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Raven, Raymond Benjamin can be contacted via phone (310) 423-5900.Contact Information
Primary practice address
8635 W 3Rd St Ste 990W
Los Angeles CA 90048-6116
Phone: (310) 423-5900
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | A66365 | California |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | A66365 | California |
Profile Details
NPI number | 1932199478 |
---|---|
LBN Legal business name | Raven, Raymond Benjamin |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 26th, 2005 |
Last updated | May 6th, 2024 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1932199478 | NPPES |
California | MEDICAID | 00A663650 |
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