Individual
PREMA RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, MSN, PMHNP
Contact information
Practice address
8405 BEVERLY BLVD, LOS ANGELES, CA 90048-3401
(323) 653-1990
Mailing address
1738 S MARVIN AVE, LOS ANGELES, CA 90019-5121
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95032360
CA
Other
Enumeration date
08/14/2024
Last updated
12/12/2025
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