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R RAY NETTLES MD INC
NPI 1093243479
Family Medicine in Beverly Hills, CA

Active since May 30, 2017
9454 WILSHIRE BLVD STE 300, BEVERLY HILLS, CA 90212(310) 601-4778(800) 877-3725 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 21, 2022, Aug 9, 2017, Jun 12, 2017 (3 updates tracked since 2017).

About R Ray Nettles Md Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

R RAY NETTLES MD INC (NPI 1093243479) is a healthcare organization registered as a family medicine in Beverly Hills, California and active in the NPI registry since May 2017. The organization lists Lorena B Mandi, Secretary, as its authorized official.

NPPES Registry Identity

NPI1093243479
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameR RAY NETTLES MD INC
Location Address9454 WILSHIRE BLVD STE 300Beverly Hills, CA 90212-2904
Mailing Address9454 Wilshire Blvd Ste 300Beverly Hills, CA 90212-2904 · (310) 601-4778 · Fax (800) 877-3725
Phone(310) 601-4778
Fax(800) 877-3725
Organization SubpartNo
Authorized OfficialLorena B MandiSecretary · (310) 601-4778
Enumeration DateMay 30, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1093243479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AL · A79597
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
9454 WILSHIRE BLVD STE 300, Beverly Hills, CA 90212
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is R Ray Nettles MD Inc's NPI number?

The NPI number for R Ray Nettles MD Inc is 1093243479. It was assigned to this organization in the NPPES registry on May 30, 2017.

Where is R Ray Nettles MD Inc located?

R Ray Nettles MD Inc is located at 9454 Wilshire Blvd Ste 300, Beverly Hills, CA 90212. The listed phone number is (310) 601-4778.

What is R Ray Nettles MD Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for R Ray Nettles MD Inc was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.