RAY GRIJALVA

SANTA ANA, CA
NPI1265414130
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA 10355)
Enumeration Date2005-11-16
Last Update Date2011-06-28
Business Address
Mr. RAY GRIJALVA PA
1212 W 17TH ST
SANTA ANA, CA 92706-3418
Phone number: 714-954-0432
Mailing Address
Mr. RAY GRIJALVA PA
2742 DOW AVE
TUSTIN, CA 92780-7242
Phone number: 714-665-1600