Individual
TROY MICHAEL REYNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1010 W LA VETA AVE, SUITE 640, ORANGE, CA 92868-4300
(714) 364-4050
(714) 364-4051
Mailing address
1010 W LA VETA AVE, SUITE 640, ORANGE, CA 92868-4300
(714) 364-4050
(714) 364-4051
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
6581
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0020193396
—
NV
Enumeration date
07/21/2005
Last updated
06/19/2012
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