Santa Mina, Reynaldo B

Santa Mina, Reynaldo B is an individual health care provider with primary practice located at 3480 Ternhaven Way , Sacramento CA 95835-2454. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Santa Mina, Reynaldo B can be contacted via phone (916) 418-4884.

Contact Information

Primary practice address
3480 Ternhaven Way Sacramento CA 95835-2454
Phone: (916) 418-4884
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X A67778 California

Profile Details

NPI number 1144221383
LBN Legal business name Santa Mina, Reynaldo B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Sep 21st, 2009 - 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 1144221383 NPPES
California MEDICAID 00A677780

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