Raven-L Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 14400 Issued in CA

Legal business name

RAVEN-L INC.

Practice address

1962 Milan Ave
South Pasadena, CA 91030-4635

Phone

(626) 441-3124

Fax

(626) 441-3124

NPI assigned

Aug 15, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Jean Keiko Ravenelle, P.T.NPI 1598989873

Title

Cfo

Phone

(626) 441-3124

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jean Keiko Ravenelle, RPT

  • Physical Therapist
  • South Pasadena, CA
  • NPI 1598989873
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313366400000",
    "number": "1801175377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1962 MILAN AVE",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910304635",
            "telephone_number": "626-441-3124",
            "fax_number": "626-441-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1962 MILAN AVE",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910304635",
            "telephone_number": "626-441-3124",
            "fax_number": "626-441-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVEN-L INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-15",
        "last_updated": "2011-08-15",
        "status": "A",
        "authorized_official_last_name": "RAVENELLE",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "KEIKO",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "626-441-3124",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 14400",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "AT644",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosa Ramirez, LCSW
• Silvia Anahi Ramirez
• Yesenia Ramirez
• Karina Ramos
• Maria Ramos, BA
• Jean Keiko Ravenelle, RPT
• Marilyn Margaret Mary Raygoza
• Joanna Razo, LMFT
• Donna Denise Reed, MA
• Reena R Patel MD Inc

• Physical Therapist in South Pasadena, CA
• Providers in South Pasadena, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.