James Otis Ray in Fullerton - Addiction (substance Use Disorder)
James Otis Ray - NPI 1417039579
James Otis Ray is a Addiction (substance Use Disorder) in Fullerton, California. James Otis Ray practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for James Otis Ray is 1417039579. The last update date is 2007-07-08.
James Otis Ray's current location address is 1060 S Brookhurst Rd, Fullerton, California. You can contact this provider via phone number 7144491339. The mailing address for James Otis Ray is 1060 S Brookhurst Rd, Fullerton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Otis Ray |
|---|---|
| Address | 1060 S Brookhurst Rd, Fullerton, California |
| Phone Number | 7144491339 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | COUNSELOR |
NPI Number Detail
| NPI Number | 1417039579 |
|---|---|
| Provider Enumeration Date | 2006-10-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1060 S Brookhurst Rd |
|---|---|
| City | Fullerton |
| State | California (CA) |
| Post Code | 928333709 |
| Phone Number | 7144491339 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9532452254 | CA | TAX |
Post Comment/ Review Below
What is the James Otis Ray's 1417039579?
The James Otis Ray's NPI (National Provider Identifier) Number is 1417039579. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where James Otis Ray is geographically located?
The James Otis Ray is physically situated at the following location: 1060 S Brookhurst Rd, Fullerton, CA, 928333709.
What is James Otis Ray's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for James Otis Ray is Addiction (substance Use Disorder), and the taxonomy code that categorizes this field of expertise is 101Ya0400X.
On what date was the 1417039579 assigned to James Otis Ray?
The James Otis Ray was issued its 1417039579 on 2006-10-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to James Otis Ray last refreshed?
The information related to the James Otis Ray, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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