Individual
MATTHEW REARDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3033 W ORANGE AVE, ANAHEIM, CA 92804-3183
(714) 827-3000
Mailing address
8091 CONSTANTINE DR APT 2, HUNTINGTON BEACH, CA 92646-1726
(714) 717-3700
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
95085064
CA
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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