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Organization
BERNARDITA DE LOS REYES, M.D., INC.
Active
Organization
BERNARDITA DE LOS REYES, M.D., INC.
Active
Other names
CLINICA SANTA ISABEL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERNARDITA L DE LOS REYES M.D. (OWNER)
(323) 587-2222
Entity
Organization
Contact information
Practice address
2760 E FLORENCE AVE, HUNTINGTON PARK, CA 90255-5747
(323) 587-2222
(323) 587-3963
Mailing address
2760 E FLORENCE AVE, HUNTINGTON PARK, CA 90255-5747
(323) 587-2222
(323) 587-3963
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
A37605
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0088070
—
CA
Enumeration date
07/21/2006
Last updated
02/11/2008
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