Individual provider · Type 1 NPI
Edmond Chan Reyes, INDEPENDENT CORPSMAN
Military Health Care Provider · Sandiego, CA
NPI number
1659449221
Active
Practice location
Naval Air Station North Island, Bldg 290
Sandiego, CA 92135
Fax (619) 767-1497
Mailing address
35755 Coral Dr
Winchester, CA 92596
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider Primary | 171000000X | None listed |
Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
About NPI 1659449221
Edmond Chan Reyes, INDEPENDENT CORPSMAN's National Provider Identifier is 1659449221, issued on Dec 1, 2006. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Sandiego, CA. The record was last updated on Jul 8, 2007.