Provider Demographics
NPI:1457701179
Name:VARELA, RAY
Entity Type:Individual
Prefix:
First Name:RAY
Middle Name:
Last Name:VARELA
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 1:1600 E. BELLE TERRACE
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93307
Mailing Address - Country:US
Mailing Address - Phone:661-336-6788
Mailing Address - Fax:661-336-6767
Practice Address - Street 1:1600 E. BELLE TERRACE
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93307
Practice Address - Country:US
Practice Address - Phone:661-336-6788
Practice Address - Fax:661-336-6767
Is Sole Proprietor?:No
Enumeration Date:2016-06-14
Last Update Date:2016-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAB7565950OtherDRIVER'S LICENSE