Ray, Vincent Lavalles

Ray, Vincent Lavalles is an individual health care provider with primary practice located at 38707 Stivers St Suite B, Fremont CA 94536-5337. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Ray, Vincent Lavalles can be contacted via phone (510) 792-0795.

Contact Information

Primary practice address
38707 Stivers St Suite B Fremont CA 94536-5337
Fax: (510) 792-0795
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X A98487 California

Profile Details

NPI number 1891928008
LBN Legal business name Ray, Vincent Lavalles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2009
Last updated Nov 26th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891928008 NPPES
California MEDICAID ZZZ80788Z
California MEDICAID 5914763

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