Individual provider · Type 1 NPI
Evangeline A. Reyes, MD
Specialist · Corona, CA
NPI number
1144224908
Active
Practice location
260 E. Ontario Avenue, Ste. # 101
Corona, CA 92879
Fax (951) 284-0177
Mailing address
18111 Brookhurst Street, Ste. # 6100
Fountain Valley, CA 92708-7516
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist | 174400000X | None listed |
| Specialist Primary | 174400000X | A64361 (CA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1144224908
Evangeline A. Reyes, MD's National Provider Identifier is 1144224908, issued on Jun 9, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Corona, CA. The record was last updated on Nov 9, 2010.