Individual
DAVID REISBORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12115 MAGNOLIA BLVD, 254, NORTH HOLLYWOOD, CA 91607-2609
(323) 788-6114
Mailing address
12115 MAGNOLIA BLVD, 254, NORTH HOLLYWOOD, CA 91607-2609
(323) 788-6114
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G8913
CA
Other
Enumeration date
01/16/2008
Last updated
01/16/2008
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