Organization
ARJUN REYES MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARJUN REYES (PSYCHATRIST)
(805) 521-1000
Entity
Organization
Contact information
Practice address
893 PATRIOT DR, UNIT A, MOORPARK, CA 93021-3356
(805) 531-1000
(805) 531-1100
Mailing address
893 PATRIOT DR, UNIT A, MOORPARK, CA 93021-3356
(805) 531-1000
(805) 531-1100
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G77173
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G771730
CALIFORNIA MEDICAID
CA
01
—
G77173
MEDICARE ID TYPE UNSPECIFIED
—
Enumeration date
12/16/2015
Last updated
12/16/2015
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