Individual
DR. JEFFTREY RONALD REISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2675 E SLAUSON AVE, HUNTINGTON PARK, CA 90255-2926
(213) 589-6681
Mailing address
P.O. BOX 12483, MARINA DEL REY, CA 90295
(818) 517-1888
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
A36946
CA
208D00000X
General Practice Physician
Primary
A36946
CA
Other
Enumeration date
09/19/2006
Last updated
10/02/2007
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