# GARY S REITER, MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205025459
- **Authorized official:** DR. GARY S REITER M.D. (OWNER)
- **Authorized official phone:** (949) 646-2471

## Contact information

- **Practice address:** 1901 WESTCLIFF DR, SUITE 9, NEWPORT BEACH, CA 92660-5598
- **Practice address phone:** (949) 646-2471
- **Practice address fax:** (949) 642-4338
- **Mailing address:** 1901 WESTCLIFF DR, SUITE 9, NEWPORT BEACH, CA 92660-5598
- **Mailing address phone:** (949) 646-2471
- **Mailing address fax:** (949) 642-4338

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | G34721 | CA | Yes |

## Other

- **Enumeration date:** 10/23/2007
- **Last updated:** 10/23/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00G347212 | — | CA |
