Floyd, Reta D

Floyd, Reta D is an sole proprietor health care provider with primary practice located at 924 Buena Vista St Suite 204, Duarte CA 91010-1779. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Floyd, Reta D can be contacted via phone (626) 357-7177.

Contact Information

Primary practice address
924 Buena Vista St Suite 204 Duarte CA 91010-1779
Fax: (626) 357-5357
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 37226 California

Profile Details

NPI number 1194813980
LBN Legal business name Floyd, Reta D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2006
Last updated Jun 19th, 2013 - about 11 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 1194813980 NPPES
California MEDICAID 00C372260

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