Individual
DR. ROBERT ALLEN REISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1011 DEVONSHIRE DR, SUITE E, ENCINITAS, CA 92024-5136
(760) 632-5456
Mailing address
10170 SORRENTO VALLEY RD, MAIL DROP SV-5, SAN DIEGO, CA 92121-1604
(858) 784-5888
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
G61155
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G611550
—
CA
Enumeration date
07/22/2005
Last updated
10/17/2012
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