BERNARDITA DE LOS REYES M.D. INC. NPI 1912928540

NPI Information

BERNARDITA DE LOS REYES, M.D., INC. is an obstetrics and gynecology nurse practitioner in Huntington Park, CA. BERNARDITA DE LOS REYES, M.D., INC. NPI is 1912928540. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Clinica Santa Isabel.

The provider's business location address is:

2760 E FLORENCE AVE
HUNTINGTON PARK, CA
ZIP 90255-747
Phone: (323) 587-2222
Fax: (323) 587-3963

The provider's authorized official is Bernardita L De Los Reyes .
The authorized official title is Owner and has the following contact phone number (323) 587-2222.

The CLIA number assigned to this NPI record is 05D0897610 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/21/2006 and was last updated on 2/11/2008.

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:

Other Identifiers

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