Individual
ELIZABETH LEONI REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
408 S BEACH BLVD, 111, ANAHEIM, CA 92804-1853
(714) 826-8800
(714) 226-9760
Mailing address
408 S BEACH BLVD, 111, ANAHEIM, CA 92804-1853
(714) 826-8800
(714) 226-9760
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A50588
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A505880
MEDICAL PROVIDER NO.
CA
Enumeration date
08/31/2006
Last updated
02/17/2009
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