Individual
RAYNA PISKOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
509 S I ST, SUITE C, MADERA, CA 93637-4660
(800) 955-6412
Mailing address
509 S I ST, SUITE C, MADERA, CA 93637-4660
(800) 955-6412
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A52376
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A523760
—
CA
01
—
P00086332
MEDICARE RAILROAD
CA
Enumeration date
07/04/2006
Last updated
10/07/2009
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