Individual
PARKER REA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
BUILDING 1, 34800 BOB WILSON DR # 112, SAN DIEGO, CA 92134-3806
(619) 532-8452
Mailing address
BUILDING 1, 34800 BOB WILSON DR # 112, SAN DIEGO, CA 92134-0001
(619) 532-8452
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
208D00000X
General Practice Physician
Primary
0101286682
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/09/2022
Last updated
08/13/2025
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