Reyes, Evangeline A
Reyes, Evangeline A is an individual health care provider with primary practice located at 260 E. Ontario Avenue Ste. # 101, Corona CA 92879. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Reyes, Evangeline A can be contacted via phone (951) 371-2411.Contact Information
Primary practice address
260 E. Ontario Avenue Ste. # 101
Corona CA 92879
Phone: (951) 371-2411
Fax: (951) 284-0177
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ||
| Other Service Providers / Specialist | 174400000X | A64361 | California |
Profile Details
| NPI number | 1144224908 |
|---|---|
| LBN Legal business name | Reyes, Evangeline A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Nov 9th, 2010 - about 14 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 | 1144224908 | NPPES |
| California | MEDICAID | 00A643610 |
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