Provider Demographics
NPI:1578864708
Name:RAYMOND DEUTSCH, MD INC
Entity Type:Organization
Organization Name:RAYMOND DEUTSCH, MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:MORRIS
Authorized Official - Last Name:DEUTSCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:510-594-0367
Mailing Address - Street 1:10765 N WINDHAM BAY CIR
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93730
Mailing Address - Country:US
Mailing Address - Phone:510-594-0367
Mailing Address - Fax:559-433-6992
Practice Address - Street 1:5655 COLLEGE AVE
Practice Address - Street 2:SUITE 314 B
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94618-1583
Practice Address - Country:US
Practice Address - Phone:510-594-0367
Practice Address - Fax:559-433-6992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-04
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility