Provider Demographics
NPI:1720101645
Name:RAGLAND, HOWARD K JR (MD)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:K
Last Name:RAGLAND
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:4801 ANGELES VISTA BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90043
Mailing Address - Country:US
Mailing Address - Phone:323-294-9133
Mailing Address - Fax:323-735-5792
Practice Address - Street 1:1511 S VERMONT AVE UNIT 2
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90006-4505
Practice Address - Country:US
Practice Address - Phone:323-786-6370
Practice Address - Fax:323-840-3101
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-07
Last Update Date:2023-08-31
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Provider Licenses
StateLicense IDTaxonomies
CAA51837207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA51837Medicare ID - Type Unspecified