Reynoso, Stefan Thomas

Reynoso, Stefan Thomas is an individual health care provider with primary practice located at 1601 Monte Vista Ave Ste 190 , Claremont CA 91711-6600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Reynoso, Stefan Thomas can be contacted via phone (909) 865-9977.

Contact Information

Primary practice address
1601 Monte Vista Ave Ste 190 Claremont CA 91711-6600
Phone: (909) 865-9977
Fax: (909) 469-2119
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A85033 California

Profile Details

NPI number 1437207404
LBN Legal business name Reynoso, Stefan Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Mar 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437207404 NPPES
California MEDICAID 1437207404

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