Individual
DR. ROBERT J REINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 E OCEAN AVE, SUITE 3, LOMPOC, CA 93436-7076
(805) 735-3391
(805) 736-3081
Mailing address
1111 E OCEAN AVE, SUITE 3, LOMPOC, CA 93436-7076
(805) 735-3391
(805) 736-3081
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A30004
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A300040
—
CA
01
—
953410303
BLUE SHIELD
CA
Enumeration date
07/08/2005
Last updated
05/22/2008
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