Individual
DR. GAYLE ANN REIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2050 W REDLANDS BLVD, REDLANDS, CA 92373-6228
(909) 792-3457
(909) 307-1863
Mailing address
363 ISLAND OAK LN, GOLETA, CA 93117-2478
(909) 792-3457
(909) 307-1863
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5009TPL
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11108
IEHP
CA
05
—
SD0050090
—
CA
Enumeration date
04/04/2006
Last updated
12/14/2018
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