Reese, Joan Menden
Reese, Joan Menden is an sole proprietor health care provider with primary practice located at 4355 Ruffin Rd , San Diego CA 92123-4306. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, which is considered as her primary health care specialty. Reese, Joan Menden can be contacted via phone (858) 576-2973.Contact Information
Primary practice address
4355 Ruffin Rd
San Diego CA 92123-4306
Phone: (858) 576-2973
Fax: (858) 496-4303
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities | 2080P0008X | G45782 | California |
Profile Details
| NPI number | 1659495695 |
|---|---|
| LBN Legal business name | Reese, Joan Menden |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 16th, 2007 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659495695 | NPPES |
| California | Other | CMS200039 | CCS GHPP PROVIDER NUMBER |
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