Individual
DANIEL ROBERT REICHERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25455 BARTON RD STE 206A, LOMA LINDA, CA 92354-3130
(909) 558-6600
(909) 558-6997
Mailing address
FILE # 54701, LOS ANGELES, CA 90074-4701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G143685
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215907415
NPI
CA
Enumeration date
01/23/2006
Last updated
09/02/2016
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