Orthopaedic Surgery Specialists Burbank
Orthopaedic Surgery, Hand Surgery in Glendale, CA. Organization (NPI-2).
NPI number1982269080
StatusActive
Last updated in NPPESMay 3, 2019
Details
- NPI
- 1982269080
- Entity type
- Organization (NPI-2)
- Legal business name
- Orthopaedic Surgery Specialists Burbank
- Organization subpart
- Yes
- Enumeration date
- May 3, 2019
- Last updated
- May 3, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207XS0106X | Orthopaedic Surgery, Hand Surgery | – | – | Yes |
| 207X00000X | Orthopaedic Surgery | – | – |
Practice location
1505 Wilson Ter Ste 310Glendale, CA 91206-4073
Phone 818-237-2248 · Fax 818-676-9882
Mailing address
2625 W Alameda Ave Ste 116Burbank, CA 91505-4815
Phone 818-563-6757 · Fax 818-563-6755
Authorized official
Raymond Benjamin Raven
Ceo
8188413936
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