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
Fax: (251) 220-8666
Website:

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417247412 NPPES
Texas MEDICAID 364142501
Texas Other 364142502

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