SearchCalifornia363LW0102X

Raven Cornish

NPI 1538701321 · on the registry since 2019

Practice

Address
4922 Whittier Blvd
Los Angeles, CA 90022
Phone
(323) 201-9343

Additional practice sites

  • 550 Peachtree St Ne Ste 1220, Atlanta, GA

Registry record

Primary taxonomy
363LW0102X
363LW0102X
Also registered as
363LX0001X
Licence states on file
GA, CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-03-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California