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 is a Family Medicine Physician 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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