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

REYNALDO L REYES JR., PHYSICIAN ASSISTANT

Active Sole Proprietor

Independent Duty Corpsman · SAN DIEGO, CA

Registration Details

NPI Number
1306800644
Provider Type
Individual
Gender
Male
NPI Issued
Apr 13, 2006 (20.054801401591 yrs)
Last Updated
Sep 22, 2022
License
58601 (CA)
Sole Proprietor
Yes

Practice Information

Address
35000 GUADALCANAL ST
BRANCH MEDICAL CLINIC MARINE CORPS RECRUIT DEPOT
SAN DIEGO, CA, 92140
Browse CA providers · Browse ZIP 92140
Phone
6195324056
Primary Specialty
Independent Duty Corpsman
1710I1002X
Additional Specialty
Independent Duty Corpsman

Other Independent Duty Corpsman Providers in SAN DIEGO, CA

Name Credential NPI
MR. MARIO OSWALDO MARTIN IDC 1497726525
MR. MICHAEL TAD GARRITSON IDC 1598736449
EDWARD J BIGGS IDC 1790756641
MR. ALLEN JAMES LAHEIST IDC 1871560284
MARK L WILLIAMSON IDC 1699743534
ARMANDO GONZALEZ SFIDC 1811964844
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.