Organization
JOHN S. REYNARD, JR., M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN S. REYNARD JR. M.D. (PRES)
(949) 499-4538
Entity
Organization
Contact information
Practice address
31862 COAST HWY, STE 203, LAGUNA BEACH, CA 92651-6769
(949) 499-4538
(951) 674-0918
Mailing address
31862 COAST HWY, STE 203, LAGUNA BEACH, CA 92651-6769
(949) 499-4538
(951) 674-0918
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G12598
CA
Other
Enumeration date
06/15/2007
Last updated
11/01/2007
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