Reyes, Cecil S.
Reyes, Cecil S. is an individual health care provider with primary practice located at 22 Corporate Plaza Dr , Newport Beach CA 92660-7985. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Reyes, Cecil S. can be contacted via phone (949) 722-7038.Contact Information
Primary practice address
22 Corporate Plaza Dr
Newport Beach CA 92660-7985
Phone: (949) 722-7038
Fax: (949) 630-4900
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA16338 | California |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA16338 | California |
Profile Details
NPI number | 1720288434 |
---|---|
LBN Legal business name | Reyes, Cecil S. |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 20th, 2007 |
Last updated | Feb 12th, 2013 - about 11 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 | 1720288434 | NPPES |
California | Other | BP657Y | PTAN |
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