# BERNARDITA DE LOS REYES, M.D., INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CLINICA SANTA ISABEL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912928540
- **Authorized official:** DR. BERNARDITA L DE LOS REYES M.D. (OWNER)
- **Authorized official phone:** (323) 587-2222

## Contact information

- **Practice address:** 2760 E FLORENCE AVE, HUNTINGTON PARK, CA 90255-5747
- **Practice address phone:** (323) 587-2222
- **Practice address fax:** (323) 587-3963
- **Mailing address:** 2760 E FLORENCE AVE, HUNTINGTON PARK, CA 90255-5747
- **Mailing address phone:** (323) 587-2222
- **Mailing address fax:** (323) 587-3963

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LX0001X | Obstetrics & Gynecology Nurse Practitioner | A37605 | CA | Yes |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 02/11/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GR0088070 | — | CA |