Provider Information for 1225386220
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Mr. DAVID STEVEN RAYA
Sex: Male
NPI: 1225386220
Last Updated: 2023-08-18
Certification Date: 2023-08-18
Certification Date: 2023-08-18
Details
Name | Value | ||||||||
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NPI | 1225386220 | ||||||||
Enumeration Date | 2012-08-22 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 10953 RAMONA BLVD EL MONTE, CA 91731-2629 United States Phone: 626-434-2562 | Fax:626-279-2978 | ||||||||
Primary Practice Address | 10953 RAMONA BLVD EL MONTE, CA 91731-2629 United States Phone: 626-434-2562 | Fax:626-279-2978 | ||||||||
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