Individual
MICHAEL REYNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1301 20TH ST STE 260, SANTA MONICA, CA 90404-2052
(310) 453-0551
(310) 315-0133
Mailing address
1301 20TH ST STE 260, SANTA MONICA, CA 90404-2052
(310) 453-0551
(310) 315-0133
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G40986
CA
Other
Enumeration date
11/01/2006
Last updated
07/29/2008
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