Individual
MR. JESUS MANUEL REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
2715 SANTA ANA ST, SOUTH GATE, CA 90280-2021
(323) 583-0450
(323) 583-0012
Mailing address
2715 SANTA ANA ST, SOUTH GATE, CA 90280-2021
(323) 583-0450
(323) 583-0012
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
45117
CA
363AM0700X
Medical Physician Assistant
Primary
PA17357
CA
Other
Enumeration date
06/13/2006
Last updated
03/12/2026
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