Provider Demographics
NPI:1215740873
Name:RAY OF SUNLIGHT HEALTH PSYCHIATRIC NURSING INC
Entity type:Organization
Organization Name:RAY OF SUNLIGHT HEALTH PSYCHIATRIC NURSING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VITALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:NGALA
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:469-569-0649
Mailing Address - Street 1:4008 VALANCE WAY
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95742-6941
Mailing Address - Country:US
Mailing Address - Phone:469-569-0649
Mailing Address - Fax:
Practice Address - Street 1:4008 VALANCE WAY
Practice Address - Street 2:
Practice Address - City:RANCHO CORDOVA
Practice Address - State:CA
Practice Address - Zip Code:95742-6941
Practice Address - Country:US
Practice Address - Phone:209-920-9423
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-28
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty