Organization
R RAY NETTLES MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORENA B MANDI (SECRETARY)
(310) 601-4778
Entity
Organization
Contact information
Practice address
9454 WILSHIRE BLVD, #300, BEVERLY HILLS, CA 90212
(310) 601-4778
(800) 877-3725
Mailing address
9454 WILSHIRE BLVD STE 300, BEVERLY HILLS, CA 90212-2904
(310) 601-4778
(800) 877-3725
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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