Individual
GEORGE DELFIN REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1509 WILSON TERRACE, GLENDALE, CA 91206-4007
(818) 409-8000
Mailing address
2400 E FOURTH ST, NATIONAL CITY, CA 91950-2026
(619) 470-4321
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A76226
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A762260
—
CA
01
—
00G585940
BLUE SHIELD
CA
01
—
P01086192
RAILROAD MEDICARE
CA
01
—
RHL162231
DHS RADIOLOGY LICENSE
CA
Enumeration date
01/02/2007
Last updated
03/07/2023
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