Individual
MR. EDWARD JOHN REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
25431 CABOT RD, #110, LAGUNA HILLS, CA 92653-5518
(949) 716-1900
(949) 716-1919
Mailing address
25431 CABOT RD, #110, LAGUNA HILLS, CA 92653-5518
(949) 716-1900
(949) 716-1919
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC20364
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC20364
MEDICAL LICENCE
CA
Enumeration date
01/19/2007
Last updated
07/08/2007
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