Provider Demographics
NPI:1467649418
Name:ARAYA, DAVID CLETO (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:CLETO
Last Name:ARAYA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALIFORNIA MEN'S COLONY DEPARTMENT OF MEDICINE
Mailing Address - Street 2:PO BOX 8101
Mailing Address - City:SAN LUIS OBISPO
Mailing Address - State:CA
Mailing Address - Zip Code:93409-0001
Mailing Address - Country:US
Mailing Address - Phone:805-547-7911
Mailing Address - Fax:
Practice Address - Street 1:469 S. HOLT AVENUE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-0469
Practice Address - Country:US
Practice Address - Phone:805-547-7911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-03
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA71579207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine