| Ravonkavi Services | |
|
23331 El Toro Rd Ste 208 Lake Forest CA 92630-4883 | |
| (949) 391-7790 | |
| Not Available |
| Full Name | Ravonkavi Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 23331 El Toro Rd Ste 208, Lake Forest, California |
| Authorized Official Name and Position | Homayoun Shahri (FOUNDER) |
| Authorized Official Contact | 9493917790 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ravonkavi Services 32732 Ballena Dana Point CA 92629-4157 Ph: (949) 436-2127 | Ravonkavi Services 23331 El Toro Rd Ste 208 Lake Forest CA 92630-4883 Ph: (949) 391-7790 |
| NPI Number | 1306444971 |
|---|---|
| Provider Enumeration Date | 10/15/2020 |
| Last Update Date | 10/15/2020 |
| Certification Date | 10/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306444971 | NPI | - | NPPES |
| 1285972257 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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