Individual
JOSE MANUEL REYES RIVERA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1191 CENTRAL BLVD STE A, BRENTWOOD, CA 94513-2253
(855) 223-7123
Mailing address
16782 VON KARMAN AVE STE 11, IRVINE, CA 92606-2417
(855) 223-7123
(619) 374-7134
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
CA
Other
Enumeration date
08/15/2022
Last updated
11/14/2025
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