Feliciano, Larry Reynolds

Feliciano, Larry Reynolds is an individual health care provider with primary practice located at 7601 Hospital Dr , Sacramento CA 95823-5408. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Feliciano, Larry Reynolds can be contacted via phone (916) 689-1966.

Contact Information

Primary practice address
7601 Hospital Dr Sacramento CA 95823-5408
Phone: (916) 689-1966
Fax: (916) 689-1238
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A51153 California

Profile Details

NPI number 1811965791
LBN Legal business name Feliciano, Larry Reynolds
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1811965791 NPPES
California MEDICAID LAB12158F

Popular Providers