Organization
ROLAND D REINHART M D A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA BOLANOS (ADMINISTRATOR)
(760) 341-2360
Entity
Organization
Contact information
Practice address
39800 PORTOLA AVE, PALM DESERT, CA 92260-0620
(760) 341-2360
(760) 346-5940
Mailing address
PO BOX 14170, PALM DESERT, CA 92255-4170
(760) 341-2360
(760) 346-5940
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
A49097
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CJ4857
MC RAIL ROAD GROUP #
CA
Enumeration date
11/09/2005
Last updated
10/24/2023
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