Reyes, Ericson P

Reyes, Ericson P is an individual health care provider with primary practice located at 3300 E South St Ste 308 , Lakewood CA 90805-4598. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Reyes, Ericson P can be contacted via phone (562) 630-3111.

Contact Information

Primary practice address
3300 E South St Ste 308 Lakewood CA 90805-4598
Phone: (562) 630-3111
Fax: (562) 630-3107
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP15834 California

Profile Details

NPI number 1740397413
LBN Legal business name Reyes, Ericson P
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Oct 10th, 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 1740397413 NPPES
California Other NP15834 NURSE PRACTITIONER LICENS
California Other 515085 NURSE PRACTITIONER LICENS

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