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NPI Code Detail

MEDICARE: RAMIN ALEXANDER RAVEN M.D.

MEDICARE: RAMIN ALEXANDER RAVEN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine PhysicianA119240CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14301089741OTHERMIMEDICAL LICENSE NUMBER
2A119240OTHERCAMEDICAL LICENSE

General Provider Information

NPI Number : 1538365325
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAMIN ALEXANDER RAVEN M.D.
Provider Business Mailing Address
First Line : 5767 W CENTURY BLVD STE 400
Second Line :
City : LOS ANGELES
State : CA
Zip : 90045-5631
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7300 MEDICAL CENTER DR
Second Line :
City : WEST HILLS
State : CA
Zip : 91307-1902
Country : US
Telephone Number : 818-676-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2007
Last Update Date : 01/02/2026

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