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
Phone: (209) 381-6879
Fax: (209) 725-3775
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1164881983 | NPPES |
California | MEDICAID | 1013030808 | |
California | Other | 1013030808 |
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