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Individual
ROSA M. REYNAGA
Active
Individual
ROSA M. REYNAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G53875
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G538750
BLUE SHIELD ID #
—
05
—
00G538750
—
CA
01
—
014067
HEALTH NET ID #
—
01
—
110195911
RAILROAD
—
Enumeration date
06/01/2006
Last updated
03/20/2015
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