Individual
BIBIANA JIN-WAN REISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1450 SAN PABLO ST, SUITE 4000, LOS ANGELES, CA 90033-4668
(323) 442-6335
(323) 442-7166
Mailing address
1450 SAN PABLO ST, SUITE 3700, LOS ANGELES, CA 90033-4668
(323) 442-7152
(323) 442-7166
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A81507
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A81507
MEDICAL LICENSE
CA
Enumeration date
11/17/2006
Last updated
10/25/2014
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