Individual
BRUCE JORDAN REITMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4081 E OLYMPIC BLVD, LOS ANGELES, CA 90023
(323) 267-0477
Mailing address
4347 PORTAGE ST NW STE 102, NORTH CANTON, OH 44720-7371
(800) 527-0336
(714) 973-2655
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G75290
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G752900
—
CA
Enumeration date
12/23/2005
Last updated
06/05/2018
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