Individual
MICHAEL REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
5425 POMONA BLVD, LOS ANGELES, CA 90022-1716
(323) 728-0411
Mailing address
5425 POMONA BLVD, LOS ANGELES, CA 90022-1716
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
95193260
CA
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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