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Organization
MARIO C. REYES PODIATRY PC
Active
Organization
MARIO C. REYES PODIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO COLUNGA REYES DPM (CHIEF EXECUTIVE OFFICER)
(310) 517-4736
Entity
Organization
Contact information
Practice address
3330 LOMITA BLVD FL TOWER5, TORRANCE, CA 90505-5002
(310) 517-4736
Mailing address
3330 LOMITA BLVD, TORRANCE, CA 90505-5002
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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