Reyes, Adrian T.
Reyes, Adrian T. is an sole proprietor health care provider with primary practice located at 4650 Lincoln Blvd , Marina Del Rey CA 90292-6306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Reyes, Adrian T. can be contacted via phone (562) 407-2080.Contact Information
Primary practice address
4650 Lincoln Blvd
Marina Del Rey CA 90292-6306
Phone: (562) 407-2080
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | A91226 | California |
Profile Details
| NPI number | 1477531119 |
|---|---|
| LBN Legal business name | Reyes, Adrian T. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2006 |
| Last updated | Feb 27th, 2008 - about 16 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 | 1477531119 | NPPES |
| California | MEDICAID | 00A912260 |
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