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Organization
JORGE REYES
Active
Organization
JORGE REYES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE REYES LCSW (OWNER)
(213) 458-1459
Entity
Organization
Contact information
Practice address
23550 LYONS AVE, STE 211, SANTA CLARITA, CA 91321-2520
(661) 360-6792
(661) 430-5414
Mailing address
25453 VIA LABRADA, VALENCIA, CA 91355-2718
(213) 458-1459
(661) 430-5414
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
LCS 27150
CA
305R00000X
Preferred Provider Organization
Primary
LCS 27150
CA
Other
Enumeration date
03/30/2015
Last updated
02/10/2016
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