Reyes, Marlon Roa

Reyes, Marlon Roa is an sole proprietor health care provider with primary practice located at 1225 W 190Th St Ste 280 , Gardena CA 90248-4305. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Reyes, Marlon Roa can be contacted via phone (310) 515-8113.

Contact Information

Primary practice address
1225 W 190Th St Ste 280 Gardena CA 90248-4305
Phone: (310) 515-8113
Fax: (310) 538-2102
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 11019279 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 852172 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95020637 California

Profile Details

NPI number 1134861123
LBN Legal business name Reyes, Marlon Roa
Credentials MSN PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2022
Last updated Jun 2nd, 2023 - about 2 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.

Request for update

Popular Providers