Revilla, Reinald Allen

Revilla, Reinald Allen is an individual health care provider with primary practice located at 23700 Camino Del Sol , Torrance CA 90505. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Revilla, Reinald Allen can be contacted via phone (310) 530-1151.

Contact Information

Primary practice address
23700 Camino Del Sol Torrance CA 90505
Phone: (310) 530-1151
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 758060 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95007937 California

Profile Details

NPI number 1821507716
LBN Legal business name Revilla, Reinald Allen
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2017
Last updated Jan 22nd, 2019 - about 5 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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