| R Ray Nettles Md Inc | |
|
9454 Wilshire Blvd Ste 300 Beverly Hills CA 90212-2904 | |
| (310) 601-4778 | |
| (800) 877-3725 |
| Full Name | R Ray Nettles Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 9454 Wilshire Blvd Ste 300, Beverly Hills, California |
| Authorized Official Name and Position | Lorena B Mandi (SECRETARY) |
| Authorized Official Contact | 3106014778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R Ray Nettles Md Inc 9454 Wilshire Blvd Ste 300 Beverly Hills CA 90212-2904 Ph: (310) 601-4778 | R Ray Nettles Md Inc 9454 Wilshire Blvd Ste 300 Beverly Hills CA 90212-2904 Ph: (310) 601-4778 |
| NPI Number | 1093243479 |
|---|---|
| Provider Enumeration Date | 05/30/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093243479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A79597 (Alabama) | Primary |
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