Reynolds, Susan Jean

Reynolds, Susan Jean is an individual health care provider with primary practice located at 9802 Woodbury Ave , Garden Grove CA 92844-2819. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Reynolds, Susan Jean can be contacted via phone (714) 663-6411.

Contact Information

Primary practice address
9802 Woodbury Ave Garden Grove CA 92844-2819
Phone: (714) 663-6411
Fax: (714) 663-6470
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 230910 California

Profile Details

NPI number 1154459287
LBN Legal business name Reynolds, Susan Jean
Credentials RN, CPNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154459287 NPPES
California Other 1458726 PIN#
California Other SS3066522 PIN#

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