R RAY NETTLES MD INC – NPI #1699204032
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

R RAY NETTLES MD INC is a provider located in BEVERLY HILLS, CA. NPPES has assigned the NPI number 1699204032 to R RAY NETTLES MD INC on June 08, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for R RAY NETTLES MD INC below.

NPI Profile for
R RAY NETTLES MD INC

NPI Number
1699204032
Enumeration Date

(about 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
R RAY NETTLES MD INC
Primary location
9454 WILSHIRE BLVD
#300
BEVERLY HILLS, CA 90212
Phone: (310) 601-4778 Fax: (800) 877-3725
Mailing address
9454 WILSHIRE BLVD STE 300
BEVERLY HILLS, CA 90212-2904
Phone: (310) 601-4778 Fax: (800) 877-3725
Organization Subpart
No
Authorized Official
LORENA MANDI
SECRETARY
Phone: (310) 601-4778
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.