Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
LOS REYES CLINICA MEDICA, INC.
Active
Organization
LOS REYES CLINICA MEDICA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYRA GOMEZ (ADMINISTRATOR)
(323) 583-0450
Entity
Organization
Contact information
Practice address
2715 SANTA ANA ST, SOUTH GATE, CA 90280-2021
(323) 583-0450
(323) 583-0012
Mailing address
2715 SANTA ANA ST, SOUTH GATE, CA 90280-2021
(323) 583-0450
(323) 583-0012
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207RI0011X
Interventional Cardiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952461774
NPI
CA
05
—
PENDING
—
CA
Enumeration date
09/15/2010
Last updated
03/12/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up