Poway Spine And Pain

LBN: Ravi K Lakkaraju Md Inc
Poway Spine And Pain is an health care organization with primary practice located at 15725 Pomerado Rd Ste 105 , Poway CA 92064-2057. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Ravi K Lakkaraju Md Inc can be contacted via phone (858) 485-1846, or through Lakkaraju, Ravi K via phone (858) 485-1846.

Contact Information

Primary practice address
15725 Pomerado Rd Ste 105 Poway CA 92064-2057
Phone: (858) 485-1846
Fax: (858) 485-8676
Website:
Map and Directions
Authorized official contact:
Name: Lakkaraju, Ravi K Doctor of Medicine (MD)
Phone: (858) 485-1846

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X C55361 California

Profile Details

NPI number 1245646959
LBN Legal business name Ravi K Lakkaraju Md Inc
DBA Doing business as Poway Spine And Pain
Authorized official Lakkaraju, Ravi K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2014
Last updated Jul 2nd, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245646959 NPPES
California Other C55361 CALIFORNIA MEDICAL LICENSE

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