Organization
NORMAN DAVID REYES MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NORMAN DAVID REYES M.D. (CEO)
(916) 733-6840
Entity
Organization
Contact information
Practice address
3941 J ST, SUITE 368, SACRAMENTO, CA 95819-3624
(916) 733-6840
(916) 733-6980
Mailing address
3941 J ST, SUITE 368, SACRAMENTO, CA 95819-3624
(916) 733-6840
(916) 733-6980
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
A40111
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A401110
—
CA
Enumeration date
10/11/2006
Last updated
01/29/2013
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