Reynolds, Gene

Reynolds, Gene is an individual health care provider with primary practice located at 210 Canal St , King City CA 93930-3432. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Reynolds, Gene can be contacted via phone (831) 385-5471.

Contact Information

Primary practice address
210 Canal St King City CA 93930-3432
Fax: (831) 385-5940
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G19118 California

Profile Details

NPI number 1922084607
LBN Legal business name Reynolds, Gene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Jul 8th, 2007 - about 17 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 1922084607 NPPES
California MEDICAID G191180

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