Provider Demographics
NPI:1225681109
Name:CALA, RAY H
Entity Type:Individual
Prefix:
First Name:RAY
Middle Name:H
Last Name:CALA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10514 GERALD AVE
Mailing Address - Street 2:
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344-6619
Mailing Address - Country:US
Mailing Address - Phone:818-389-7167
Mailing Address - Fax:
Practice Address - Street 1:6501 FOOTHILL BLVD STE 104
Practice Address - Street 2:
Practice Address - City:TUJUNGA
Practice Address - State:CA
Practice Address - Zip Code:91042-2766
Practice Address - Country:US
Practice Address - Phone:818-389-7167
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-19
Last Update Date:2019-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver