De Los Reyes, Bernardita L

De Los Reyes, Bernardita L is an sole proprietor health care provider with primary practice located at 2760 E Florence Ave , Huntington Park CA 90255-5747. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. De Los Reyes, Bernardita L can be contacted via phone (323) 587-2222.

Contact Information

Primary practice address
2760 E Florence Ave Huntington Park CA 90255-5747
Fax: (323) 587-3963
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A37605 California

Profile Details

NPI number 1538194352
LBN Legal business name De Los Reyes, Bernardita L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2006
Last updated Oct 2nd, 2007 - about 17 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 1538194352 NPPES
California MEDICAID 00A376050

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