Organization
REYNALDO L. MAKABALI MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REYNALDO LIMPIN MAKABALI MD (PRESIDENT)
(213) 389-9595
Entity
Organization
Contact information
Practice address
2426 W 8TH ST STE 104, LOS ANGELES, CA 90057-3840
(213) 389-9595
(213) 389-2556
Mailing address
2426 W 8TH ST STE 104, LOS ANGELES, CA 90057-3840
(213) 389-9595
(213) 389-2556
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A51157
CA
208D00000X
General Practice Physician
Primary
A51157
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598757577
NPPES
CA
05
—
GR0065990
—
CA
Enumeration date
08/27/2009
Last updated
05/22/2019
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