Organization
MARIO C. REYES PODIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO COLUNGA REYES DPM (CHIEF EXECUTIVE OFFICER)
(310) 517-4736
Entity
Organization
Contact information
Practice address
3330 LOMITA BLVD FL TOWER5, TORRANCE, CA 90505-5002
(310) 517-4736
Mailing address
3330 LOMITA BLVD, TORRANCE, CA 90505-5002
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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