Reynolds, Mark Michael

Reynolds, Mark Michael is an sole proprietor health care provider with primary practice located at 26522 Poinsettia Ct , Laguna Hills CA 92653-7556. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Reynolds, Mark Michael can be contacted via phone (949) 233-2454.

Contact Information

Primary practice address
26522 Poinsettia Ct Laguna Hills CA 92653-7556
Phone: (949) 233-2454
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G78047 California

Profile Details

NPI number 1831124577
LBN Legal business name Reynolds, Mark Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2006
Last updated Mar 31st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831124577 NPPES
California MEDICAID 00G780470

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