Individual
LAURA REYNOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP, RN
Contact information
Practice address
8263 GROVE AVE STE 201, RANCHO CUCAMONGA, CA 91730-3107
(919) 579-0708
Mailing address
6255 W SUNSET BLVD FL 21, LOS ANGELES, CA 90028-7422
(323) 860-5200
(323) 467-7119
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95027541
CA
Other
Enumeration date
10/19/2018
Last updated
09/08/2025
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