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Randy Reyes, NP

Nurse Practitioner, Family in Solana Beach, CA. Individual provider (NPI-1).

NPI number1962029637
StatusActive
Last updated in NPPESSep 16, 2021

Details

NPI
1962029637
Entity type
Individual (NPI-1)
Name
Mr. Randy Reyes
Credential
NP
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 29, 2020
Certification date
Sep 16, 2021
Last updated
Sep 16, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family95013722CAYes
363L00000X Nurse Practitioner95013722CA

Practice location

683 Lomas Santa Fe Dr
Solana Beach, CA 92075-1412

Phone 858-755-6697

Mailing address

7147 Celome Way
San Diego, CA 92129-4546

Phone 858-603-7591

Other practice locations

18370 Burbank Blvd Ste 412
Tarzana, CA 91356-2844

Phone 818-506-3384

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