# WILLIAM F. REYNOLDS, M.D., INC.

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

## Provider details

- **NPI number:** 1578863932
- **Authorized official:** WILLIAM F. REYNOLDS M.D. (PRESIDENT/PHYSICIAN)
- **Authorized official phone:** (818) 790-1278

## Contact information

- **Practice address:** 1808 VERDUGO BLVD., SUITE 318, GLENDALE, CA 91208-1464
- **Practice address phone:** (818) 790-1278
- **Practice address fax:** (818) 952-0134
- **Mailing address:** 1808 VERDUGO BLVD., SUITE 318, GLENDALE, CA 91208-1464
- **Mailing address phone:** (818) 790-1278
- **Mailing address fax:** (818) 952-0134

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A25324 | CA | Yes |

## Other

- **Enumeration date:** 11/01/2010
- **Last updated:** 11/16/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A253240 | — | CA |
