Engstrom, Ray
Engstrom, Ray is an individual health care provider with primary practice located at 1601 Ygnacio Valley Rd , Walnut Creek CA 94598-3122. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Engstrom, Ray can be contacted via phone (925) 939-3000.Contact Information
Primary practice address
1601 Ygnacio Valley Rd
Walnut Creek CA 94598-3122
Phone: (925) 939-3000
Fax: (925) 947-5286
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | G58046 | California |
Profile Details
| NPI number | 1669414207 |
|---|---|
| LBN Legal business name | Engstrom, Ray |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1669414207 | NPPES |
| California | MEDICAID | 00G580460 |
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