Provider Demographics
NPI:1477915932
Name:RAY, BRIANNA LYNN (DO, MPH)
Entity type:Individual
Prefix:DR
First Name:BRIANNA
Middle Name:LYNN
Last Name:RAY
Suffix:
Gender:F
Credentials:DO, MPH
Other - Prefix:
Other - First Name:BRIANNA
Other - Middle Name:
Other - Last Name:ROGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:400 N. PEPPER AVENUE
Mailing Address - Street 2:
Mailing Address - City:COLTON
Mailing Address - State:CA
Mailing Address - Zip Code:92324
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:400 N. PEPPER AVENUE
Practice Address - Street 2:
Practice Address - City:COLTON
Practice Address - State:CA
Practice Address - Zip Code:92324
Practice Address - Country:US
Practice Address - Phone:909-580-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-24
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A16629207RI0200X, 207R00000X
ORDO214012207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine