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Organization
ROBERT S REINER
Active
Organization
ROBERT S REINER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT S REINER OD (OWNER)
(310) 513-6900
Entity
Organization
Contact information
Practice address
21739 AVALON BLVD, CARSON, CA 90745-3302
(310) 513-6900
Mailing address
21739 S AVALON BLVD, CARSON, CA 90745
(310) 513-6900
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0049000
—
CA
Enumeration date
05/28/2008
Last updated
05/28/2008
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