Healthcare Provider Details

I. General information

NPI: 1700517281
Provider Name (Legal Business Name): RAYMOND CALA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2022
Last Update Date: 06/23/2022
Certification Date: 06/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 W ALAMEDA AVE
BURBANK CA
91506-2932
US

IV. Provider business mailing address

222 N VENDOME ST
LOS ANGELES CA
90026-4634
US

V. Phone/Fax

Practice location:
  • Phone: 818-953-4444
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberPT30213
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: