Individual
REDA ISSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
41900 WINCHESTER RD STE 201, TEMECULA, CA 92590-3426
(951) 679-0400
(951) 672-6667
Mailing address
41900 WINCHESTER RD STE 201, TEMECULA, CA 92590-3426
(951) 679-0400
(951) 672-6667
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
55602
AZ
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
A170817
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
349311
—
AZ
Enumeration date
03/31/2014
Last updated
11/21/2022
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