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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SUNEUN SARAH REICHERT, DO

Deactivated Sole Proprietor

SUNEUN SARAH REICHERT, DO is a Family Medicine healthcare provider located in SAN PEDRO, California. NPI 1083031769 is deactivated in the NPPES registry. Verify at CMS.

Family Medicine · SAN PEDRO, CA

This NPI has been deactivated. The record was deactivated on April 15, 2019. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1083031769
Provider Type
Individual
Gender
Female
NPI Issued
Mar 19, 2014 (5.0737704918033 yrs)
Last Updated
Jul 11, 2024
Deactivated
Apr 15, 2019
Licenses
PTL1271 (CA)
19660 (CA)
Sole Proprietor
Yes

Practice Information

Address
593 W 6TH ST
SAN PEDRO, CA, 907312521
Browse CA providers · Browse ZIP 90731
Phone
3105470202
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in SAN PEDRO, CA

Name Credential NPI
JOEL HOLTZ MD 1497735849
LUIS G MAGDALENO MD 1164492013
DR. ANGEL GEORGE ANGELOW M.D. 1598711319
KRUPA SHAH M.D. 1083655369
SOBIA HASAN D.O. 1952343915
DR. ANDRES JIMENEZ M.D. 1871609404
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.