De Los Reyes, Kenneth Marcel
De Los Reyes, Kenneth Marcel is an sole proprietor health care provider with primary practice located at 11234 Anderson St , Loma Linda CA 92350-1716. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. De Los Reyes, Kenneth Marcel can be contacted via phone (909) 558-4419.Contact Information
Primary practice address
11234 Anderson St
Loma Linda CA 92350-1716
Phone: (909) 558-4419
Fax: (909) 558-4825
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | C131686 | California |
Profile Details
| NPI number | 1134388879 |
|---|---|
| LBN Legal business name | De Los Reyes, Kenneth Marcel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 6th, 2008 |
| Last updated | Feb 28th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134388879 | NPPES |
| California | MEDICAID | 1134388879 |
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