Most Relevant Information
Provider Data
| NPI Number: | 1003348764 |
| Provider Name: | TERESA RAYA MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207P00000X |
| Specialty: | Emergency Medicine |
| License Number: | A174005 |
Most Important Dates
| Enumeration Date: | 03/31/2017 |
| Last Updated: | 02/12/2022 |
Provider Practice Location
2623 E SLAUSON AVE
HUNTINGTON PARK
CA
902552926
Practice Location Phone/Fax
| Phone: | 3235831931 |
| Fax: |
Provider Mailing Location
PO BOX 19305
CHARLOTTE
NC
282199305
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |