DR. JEFFTREY RONALD REISS M.D. NPI 1477650935

NPI Information

NPI: 1477650935
Provider Name: DR. JEFFTREY RONALD REISS, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
2675 E SLAUSON AVE
HUNTINGTON PARK, CA
ZIP 90255
Phone: (213) 589-6681
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DR. Jefftrey Ronald Reiss, M.D. is a general practice in Huntington Park, CA. DR. Jefftrey Ronald Reiss, M.D. NPI is 1477650935. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2675 E SLAUSON AVE
HUNTINGTON PARK, CA
ZIP 90255-926
Phone: (213) 589-6681

The enumeration date for this NPI number is 9/19/2006 and was last updated on 10/2/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VG0400X	Obstetrics & Gynecology	Gynecology	A36946	CALIFORNIA	No
2	208D00000X	General Practice		A36946	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A28227	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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