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Organization
RAYNA PISKOVA M.D., INC
Active
Organization
RAYNA PISKOVA M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYNA PISKOVA M.D. (OWNER)
(559) 675-1715
Entity
Organization
Contact information
Practice address
509 S I ST, SUITE C, MADERA, CA 93637-4660
(559) 675-1715
Mailing address
509 S I ST, SUITE C, MADERA, CA 93637-4660
(559) 675-1715
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
12549T
CA
207W00000X
Ophthalmology Physician
Primary
A523760
CA
208600000X
Surgery Physician
A523760
CA
332B00000X
Durable Medical Equipment & Medical Supplies
5555030001
CA
Other
Enumeration date
04/11/2007
Last updated
10/20/2010
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