Reyes, Thor-Alcyone L

Reyes, Thor-Alcyone L is an individual health care provider with primary practice located at 5353 Topanga Canyon Blvd Suite 100, Woodland Hills CA 91364-1737. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Reyes, Thor-Alcyone L can be contacted via phone (818) 704-1579.

Contact Information

Primary practice address
5353 Topanga Canyon Blvd Suite 100 Woodland Hills CA 91364-1737
Phone: (818) 704-1579
Fax: (818) 704-8790
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X C38408 California

Profile Details

NPI number 1811092596
LBN Legal business name Reyes, Thor-Alcyone L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Jun 18th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811092596 NPPES
California MEDICAID 00C384080

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