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R RAY NETTLES MD INC NPI 1093243479


NPI Information

NPI: 1093243479
Provider Name: R RAY NETTLES MD INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
9454 WILSHIRE BLVD STE 300
BEVERLY HILLS, CA
ZIP 90212
Phone: (310) 601-4778
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R RAY NETTLES MD INC is a family medicine in Beverly Hills, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. R RAY NETTLES MD INC NPI is 1093243479. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9454 WILSHIRE BLVD STE 300
BEVERLY HILLS, CA
ZIP 90212-904
Phone: (310) 601-4778
Fax: (800) 877-3725

The provider's authorized official is Lorena B Mandi .
The authorized official title is Secretary and has the following contact phone number (310) 601-4778.

The enumeration date for this NPI number is 5/30/2017 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineA79597ALABAMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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