Provider Demographics
NPI:1245603612
Name:RAYA, REYNA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:REYNA
Middle Name:
Last Name:RAYA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17440 VIRGINIA AVE UNIT 17
Mailing Address - Street 2:
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-7406
Mailing Address - Country:US
Mailing Address - Phone:310-569-5841
Mailing Address - Fax:
Practice Address - Street 1:8770 W PICO BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90035-2211
Practice Address - Country:US
Practice Address - Phone:310-275-2117
Practice Address - Fax:310-275-2988
Is Sole Proprietor?:No
Enumeration Date:2015-11-07
Last Update Date:2023-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA73808183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist