Ray, John Joseph

Ray, John Joseph is an sole proprietor health care provider with primary practice located at 1328 22Nd St Saint John'S Er, Santa Monica CA 90404-2032. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Ray, John Joseph can be contacted via phone (310) 582-7084.

Contact Information

Primary practice address
1328 22Nd St Saint John'S Er Santa Monica CA 90404-2032
Phone: (310) 582-7084
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA 18709 California

Profile Details

NPI number 1619042447
LBN Legal business name Ray, John Joseph
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2006
Last updated Dec 7th, 2021 - about 3 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 1619042447 NPPES
California MEDICAID PA18709

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