Dela Pena, Ray

Dela Pena, Ray is an individual health care provider with primary practice located at 300 E 15Th St , Merced CA 95341-6217. He recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as his primary health care specialty. Dela Pena, Ray can be contacted via phone (209) 381-6879.

Contact Information

Primary practice address
300 E 15Th St Merced CA 95341-6217
Fax: (209) 725-3775
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Vocational Nurse 164X00000X 208911 California

Profile Details

NPI number 1164881983
LBN Legal business name Dela Pena, Ray
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2016
Last updated Feb 22nd, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164881983 NPPES
California MEDICAID 1013030808
California Other 1013030808

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