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NPI Code Detail

MEDICARE: DR. REYNA RAYA PHARM.D.

MEDICARE: DR. REYNA RAYA PHARM.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist73808CA

General Provider Information

NPI Number : 1245603612
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. REYNA RAYA PHARM.D.
Provider Business Mailing Address
First Line : 17440 VIRGINIA AVE UNIT 17
Second Line :
City : BELLFLOWER
State : CA
Zip : 90706-7406
Country : US
Telephone Number : 310-569-5841
Fax Number :
Provider Business Practice Location Address
First Line : 8770 W PICO BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90035-2211
Country : US
Telephone Number : 310-275-2117
Fax Number : 310-275-2988
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2015
Last Update Date : 05/13/2023

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