Organization
BERNARDITA DE LOS REYES, M.D., INC.
Active
Other names
CLINICA SANTA ISABEL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERNARDITA L DE LOS REYES M.D. (OWNER)
(323) 587-2222
Entity
Organization
Contact information
Practice address
2760 E FLORENCE AVE, HUNTINGTON PARK, CA 90255-5747
(323) 587-2222
(323) 587-3963
Mailing address
2760 E FLORENCE AVE, HUNTINGTON PARK, CA 90255-5747
(323) 587-2222
(323) 587-3963
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
A37605
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0088070
—
CA
Enumeration date
07/21/2006
Last updated
02/11/2008
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