Individual
DR. GUILLERMO ALLAN CANTU-REYNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
217 HIGHLAND AVE, FAMILY PRACTICE, NATIONAL CITY, CA 91950-1518
(619) 434-7308
(619) 434-7310
Mailing address
4060 FAIRMOUNT AVE, SAN DIEGO, CA 92105-1608
(619) 584-1612
(619) 281-6738
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A41375
CA
207R00000X
Internal Medicine Physician
A41375
CA
2084N0400X
Neurology Physician
Primary
A41375
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A413750
MEDI-CAL PROVIDER NUMBER
CA
Enumeration date
03/05/2007
Last updated
02/01/2023
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