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Contact Information

JOHN M RAVITS, MD
9500 GILMAN DR
MC 0624
LA JOLLA, CA92093-5004
 Phone: 858-246-1154
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
 

Neuromuscular Medicine

2084N0008X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for JOHN M RAVITS · (Male)

NPI Number 1396858965
Status Active
Credentials MD
Entity Individual
Enumeration date 08/16/2006
Last updated 08/22/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • CA License # G43695
  • WA Medicaid 1012830
  • Other 130018543 RAILROAD MEDICARE
  • WA Other US0866284 AETNA/USHC SPECIALIST
  • WA Other MD360WA ALASKA MEDICAID
  • WA Other RA3636 BLUE SHIELD
  • WA Other 0039590 LABOR & INDUSTRY
Hospital affiliation(s)
  • UNIVERSITY OF CALIFORNIA SAN DIEGO MEDICAL CENTER - (Acute Care)
    200 WEST ARBOR DRIVE
    SAN DIEGO, CA 92103
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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