Reyes, Adrian T.

Reyes, Adrian T. is an sole proprietor health care provider with primary practice located at 4650 Lincoln Blvd , Marina Del Rey CA 90292-6306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Reyes, Adrian T. can be contacted via phone (562) 407-2080.

Contact Information

Primary practice address
4650 Lincoln Blvd Marina Del Rey CA 90292-6306
Phone: (562) 407-2080
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A91226 California

Profile Details

NPI number 1477531119
LBN Legal business name Reyes, Adrian T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2006
Last updated Feb 27th, 2008 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477531119 NPPES
California MEDICAID 00A912260

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