# RAYNA PISKOVA MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043424781
- **Authorized official:** RAYNA PISKOVA M.D. (OWNER)
- **Authorized official phone:** (661) 869-2600

## Contact information

- **Practice address:** 509 S I ST, SUITE C, MADERA, CA 93637-4660
- **Practice address phone:** (559) 675-1715
- **Mailing address:** 509 S I ST, SUITE C, MADERA, CA 93637-4660
- **Mailing address phone:** (559) 675-1715

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | A52376 | CA | — |
| 207W00000X | Ophthalmology Physician | A52376 | CA | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | A52376 | CA | — |

## Other

- **Enumeration date:** 05/10/2007
- **Last updated:** 10/14/2010