Organization
THE LIFESTYLE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REYNALDO LAYNO REYES JR. (PRESIDENT)
(650) 714-8884
Entity
Organization
Contact information
Practice address
800 AIRPORT BLVD, SUITE 301, BURLINGAME, CA 94010-1928
(650) 348-3402
Mailing address
800 AIRPORT BLVD, SUITE 301, BURLINGAME, CA 94010-1928
(650) 348-3402
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/26/2009
Last updated
01/26/2009
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