Individual
DR. EDWARD THOMAS REIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21281 BURBANK BLVD, WOODLAND HILLS, CA 91367-6607
(818) 676-8404
Mailing address
21281 BURBANK BLVD, WOODLAND HILLS, CA 91367-6607
(818) 676-8404
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G38173
CA
Other
Enumeration date
01/14/2013
Last updated
01/14/2013
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