Individual
CASEY RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
15031 RINALDI ST, MISSION HILLS, CA 91345-1207
(818) 496-6200
Mailing address
21534 DEVONSHIRE ST, STE I #1081, CHATSWORTH, CA 91311
(928) 814-3517
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95134981
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95033737
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95033737
NURSE PRACTITIONER
CA
01
—
95134981
REGISTERED NURSE
CA
Enumeration date
05/30/2018
Last updated
02/14/2025
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