Individual
REID MAXWELL WAINESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
288 N SANTA ANITA AVE STE 403, ARCADIA, CA 91006-3183
(626) 269-5371
(626) 574-0488
Mailing address
100 E CALIFORNIA BLVD, PASADENA, CA 91105-3205
(626) 568-8838
(626) 796-7657
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A108766
CA
207W00000X
Ophthalmology Physician
Primary
A108766
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396935979
—
CA
01
—
CA192912
NO MEDICARE
CA
01
—
CB252717
SO MEDICARE
CA
Enumeration date
07/30/2007
Last updated
03/07/2024
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