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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

Details

NameValue
NPI1225386220
Enumeration Date2012-08-22
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
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
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalCALCSW81504