Reid, Racquel Elisa
Reid, Racquel Elisa is an sole proprietor health care provider with primary practice located at 1500 Rosecrans Ave Ste 500 , Manhattan Beach CA 90266-3771. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Reid, Racquel Elisa can be contacted via phone (323) 380-1090.Contact Information
Primary practice address
1500 Rosecrans Ave Ste 500
Manhattan Beach CA 90266-3771
Phone: (323) 380-1090
Fax: (251) 220-8666
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | R0487 | Texas |
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 70576 | Georgia |
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 70576 | Georgia |
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | R0487 | Texas |
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | A151636 | California |
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | A151636 | California |
Profile Details
NPI number | 1417247412 |
---|---|
LBN Legal business name | Reid, Racquel Elisa |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 11th, 2011 |
Last updated | Dec 22nd, 2023 - about last year |
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 | 1417247412 | NPPES |
Texas | MEDICAID | 364142501 | |
Texas | Other | 364142502 |
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