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Organization
MA. MILDRED R. REY, M.D.
Active
Organization
MA. MILDRED R. REY, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MA. MILDRED REY M.D. (DOCTOR)
(562) 630-5581
Entity
Organization
Contact information
Practice address
16415 COLORADO AVE, STE 308, PARAMOUNT, CA 90723-5035
(562) 630-5581
(562) 630-0411
Mailing address
16415 COLORADO AVE, STE 308, PARAMOUNT, CA 90723-5035
(562) 630-5581
(562) 630-0411
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A393310
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A393310
MEDI-CAL PROVIDER NUMBER
CA
Enumeration date
12/07/2011
Last updated
12/07/2011
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