Individual
DR. REGINALD ARIYASU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 STEIN PLZ, RM-1340, LOS ANGELES, CA 90095-7065
(310) 825-3090
Mailing address
FILE 2939, LOS ANGELES, CA 90074-2939
(310) 301-8709
(310) 301-8751
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G64282
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G642820
MEDI CAL
CA
Enumeration date
07/19/2006
Last updated
07/08/2007
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