Organization
CIPRIANO M DE LOS REYES JR MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CIPRIANO M DE LOS REYES JR. MD (PRESIDENT OWNER)
(510) 222-2121
Entity
Organization
Contact information
Practice address
2644 APPIAN WAY, #111, PINOLE, CA 94564-2240
(510) 222-2121
(510) 222-2126
Mailing address
2644 APPIAN WAY, #111, PINOLE, CA 94564-2240
(510) 222-2121
(510) 222-2126
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A29537
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A295370
—
CA
Enumeration date
10/03/2006
Last updated
08/22/2020
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