Feliciano, Larry Reynolds
Feliciano, Larry Reynolds is an individual health care provider with primary practice located at 7601 Hospital Dr , Sacramento CA 95823-5408. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Feliciano, Larry Reynolds can be contacted via phone (916) 689-1966.Contact Information
Primary practice address
7601 Hospital Dr
Sacramento CA 95823-5408
Phone: (916) 689-1966
Fax: (916) 689-1238
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A51153 | California |
Profile Details
| NPI number | 1811965791 |
|---|---|
| LBN Legal business name | Feliciano, Larry Reynolds |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811965791 | NPPES |
| California | MEDICAID | LAB12158F |
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