Individual
RUSSELL P ARAYATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
43290 CHRISTY ST, FREMONT, CA 94538-3172
(510) 894-5254
Mailing address
43290 CHRISTY ST, FREMONT, CA 94538-3172
(510) 894-5254
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
WLS7556
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07251971
OTHER
CA
Enumeration date
03/04/2022
Last updated
05/11/2026
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