Individual
JACK REINGOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1011 DEVONSHIRE DR STE F, ENCINITAS, CA 92024-5136
(760) 942-1890
(760) 942-1895
Mailing address
1011 DEVONSHIRE DR, F, ENCINITAS, CA 92024-5136
(760) 942-1890
(760) 942-1895
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E2538
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480032777
RR INDIVIDUAL PROV. #
CA
Enumeration date
04/05/2006
Last updated
11/12/2015
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