Healthcare Provider Details

I. General information

NPI: 1477993533
Provider Name (Legal Business Name): DAMIAN MICHEAL RAY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2013
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47001 PALA RD
TEMECULA CA
92592-2925
US

IV. Provider business mailing address

47001 PALA RD
TEMECULA CA
92592-2925
US

V. Phone/Fax

Practice location:
  • Phone: 951-676-6810
  • Fax: 951-394-7757
Mailing address:
  • Phone: 951-676-6810
  • Fax: 951-394-7757

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA161545
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: