Individual
SARA JAMIE REINGANUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13847 EAST 14TH STREET, SUITE 109, SAN LEANDRO, CA 94578-2625
(510) 357-7141
(510) 357-4274
Mailing address
13847 EAST 14TH STREET, SUITE 109, SAN LEANDRO, CA 94578-2625
(510) 357-7141
(510) 357-4274
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G70642
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G706420
—
CA
Enumeration date
07/08/2006
Last updated
07/08/2007
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