Individual
DR. VINCENT LAVALLES RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
38707 STIVERS ST, SUITE B, FREMONT, CA 94536-5337
(510) 792-0795
(510) 792-0795
Mailing address
38707 STIVERS ST, SUITE B, FREMONT, CA 94536-5337
(510) 792-0795
(510) 792-0795
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A98487
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5914763
—
NC
05
—
ZZZ80788Z
—
CA
Enumeration date
09/03/2009
Last updated
11/26/2015
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