Basic Information
| Provider Information | |||||||||
| NPI: | 1114300209 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | RAYOS | ||||||||
| FirstName: | KAREN ANN | ||||||||
| MiddleName: | P | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1030 SCENIC DR | ||||||||
| Address2: | |||||||||
| City: | MODESTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 953506133 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2095587248 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1209 WOODROW AVE | ||||||||
| Address2: | |||||||||
| City: | MODESTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 953501288 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2095585312 | ||||||||
| FaxNumber: | 8089744746 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/07/2015 | ||||||||
| LastUpdateDate: | 10/23/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/23/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | MDR-6902 | HI | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | A158600 | CA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.