Glendrange, Ray Rogers
Glendrange, Ray Rogers is an individual health care provider with primary practice located at 4605 Brockton Ave Suite 100, Riverside CA 92506-0106. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Glendrange, Ray Rogers can be contacted via phone (951) 686-4911.Contact Information
Primary practice address
4605 Brockton Ave Suite 100
Riverside CA 92506-0106
Phone: (951) 686-4911
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | G61038 | California |
Profile Details
| NPI number | 1164484507 |
|---|---|
| LBN Legal business name | Glendrange, Ray Rogers |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1164484507 | NPPES |
| California | MEDICAID | 00G610380 |
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