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Reydante Reyes Edora

Registered Nurse, Psych/Mental Health in Culver City, CA. Individual provider (NPI-1).

NPI number1023972734
StatusActive
Last updated in NPPESDec 16, 2025

Details

NPI
1023972734
Entity type
Individual (NPI-1)
Name
Reydante Reyes Edora
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 16, 2025
Certification date
Dec 16, 2025
Last updated
Dec 16, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WP0808X Registered Nurse, Psych/Mental Health526834CAYes

Practice location

9808 Venice Blvd Ste 700
Culver City, CA 90232-6824

Phone 310-945-3350

Mailing address

9808 Venice Blvd Ste 700
Culver City, CA 90232-6824

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