Wyatt, Alvin Ray
Wyatt, Alvin Ray is an individual health care provider with primary practice located at 10666 N Torrey Pines Rd # 100C , La Jolla CA 92037-1027. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Wyatt, Alvin Ray can be contacted via phone (858) 554-2626.Contact Information
Primary practice address
10666 N Torrey Pines Rd # 100C
La Jolla CA 92037-1027
Phone: (858) 554-2626
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 147190 | California |
Profile Details
| NPI number | 1528313624 |
|---|---|
| LBN Legal business name | Wyatt, Alvin Ray |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2012 |
| Last updated | Mar 19th, 2026 - about 7 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528313624 | NPPES |
| Kansas | MEDICAID | 30004739530002 | |
| Kansas | Other | 403000027 |
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