Individual
MARIO REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3330 LOMITA BLVD, TORRANCE, CA 90505-5002
(254) 935-5750
Mailing address
3330 LOMITA BLVD, TORRANCE, CA 90505-5002
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
692073
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E6088
CA
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
03/27/2020
Last updated
10/31/2024
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