# REYNALDO L. MAKABALI MD, INC.

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

## Provider details

- **NPI number:** 1306079181
- **Authorized official:** DR. REYNALDO LIMPIN MAKABALI MD (PRESIDENT)
- **Authorized official phone:** (213) 389-9595

## Contact information

- **Practice address:** 2426 W 8TH ST STE 104, LOS ANGELES, CA 90057-3840
- **Practice address phone:** (213) 389-9595
- **Practice address fax:** (213) 389-2556
- **Mailing address:** 2426 W 8TH ST STE 104, LOS ANGELES, CA 90057-3840
- **Mailing address phone:** (213) 389-9595
- **Mailing address fax:** (213) 389-2556

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | A51157 | CA | — |
| 208D00000X | General Practice Physician | A51157 | CA | Yes |

## Other

- **Enumeration date:** 08/27/2009
- **Last updated:** 05/22/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1598757577 | NPPES | CA |
| 05 | — | GR0065990 | — | CA |