Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

R Ray Nettles MD Inc

Organization Family Medicine Physician · NPI 1093243479

R Ray Nettles MD Inc provides Family Medicine Physician services in Beverly Hills, California. Licensed in Alabama. Registered with an NPI since 2017.

Licensed in
AL
In the registry since
2017
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9454 Wilshire Blvd Ste 300
Beverly Hills, CA 90212-2904
Phone: (310) 601-4778
Fax: (800) 877-3725
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A79597 (AL)

Record details

NPI number1093243479
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lorena Mandi — Secretary · (310) 601-4778
NPI enumeratedMay 30, 2017
Last updated in NPPESJuly 21, 2022
Mailing address9454 Wilshire Blvd Ste 300, Beverly Hills, CA 90212-2904

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