Individual
ANTONIO TENORIO REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
408 S BEACH BLVD, SUITE 111, ANAHEIM, CA 92804-1853
(714) 826-8800
(714) 226-9760
Mailing address
408 S BEACH BLVD, SUITE 111, ANAHEIM, CA 92804-1853
(714) 826-8800
(714) 226-9760
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A50615
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A50615
MEDICAL PROVIDER NO.
CA
Enumeration date
08/31/2006
Last updated
07/02/2013
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