Healthcare Provider Details

I. General information

NPI: 1225386220
Provider Name (Legal Business Name): DAVID STEVEN RAYA LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2012
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1359 N GRAND AVE
COVINA CA
91724-1016
US

IV. Provider business mailing address

PO BOX 33281
LOS ANGELES CA
90033-0281
US

V. Phone/Fax

Practice location:
  • Phone: 626-430-2900
  • Fax:
Mailing address:
  • Phone: 626-344-9111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW81504
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: