Organization
GARY S REITER, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY S REITER M.D. (OWNER)
(949) 646-2471
Entity
Organization
Contact information
Practice address
1901 WESTCLIFF DR, SUITE 9, NEWPORT BEACH, CA 92660-5598
(949) 646-2471
(949) 642-4338
Mailing address
1901 WESTCLIFF DR, SUITE 9, NEWPORT BEACH, CA 92660-5598
(949) 646-2471
(949) 642-4338
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G34721
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G347212
—
CA
Enumeration date
10/23/2007
Last updated
10/23/2007
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