# ANDREA J REICHE MD, A MEDICAL CORP

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

## Provider details

- **NPI number:** 1730398090
- **Authorized official:** ANDREA J REICHE (M.D.)
- **Authorized official phone:** (818) 901-1010

## Contact information

- **Practice address:** 6815 NOBLE AVE, VAN NUYS, CA 91405-3796
- **Practice address phone:** (818) 901-1010
- **Practice address fax:** (818) 901-0553
- **Mailing address:** 6815 NOBLE AVE, VAN NUYS, CA 91405-3796
- **Mailing address phone:** (818) 901-1010
- **Mailing address fax:** (818) 901-0553

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VX0000X | Obstetrics Physician | A50973 | CA | Yes |

## Other

- **Enumeration date:** 05/22/2007
- **Last updated:** 08/01/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A509730 | — | CA |