Individual ProviderDeepak RaviInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address27235 Tourney Rd Ste 2500, Santa Clarita, CA 91355(661) 253-5851PECOS EnrollmentBased on the most recent information from CMS, provider Deepak Ravi is legally eligible to order and refer claims for Part B, HHA and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1548623796Provider TypeIndividualFull NameRavi, DeepakGenderMaleSole ProprietorNoEnumeration Date4/4/2016Last Updated10/1/2019Contact InformationPractice LocationPractice Address27235 Tourney Rd Ste 2500, Santa Clarita, CA 91355Phone(661) 253-5851Fax(661) 253-5852Mailing LocationMailing Address5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA155519CaliforniaCode208000000XDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseA155519California