Individual provider · Type 1 NPI

Ericson P. Reyes

Nurse Practitioner · Lakewood, CA

NPI number 1740397413 Active

Practice location

3300 E South St Ste 308
Lakewood, CA 90805-4598

Call (562) 630-3111 Map

Fax (562) 630-3107

Mailing address

PO Box 879
Lakewood, CA 90714-0879

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNP15834 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1740397413

Ericson P. Reyes's National Provider Identifier is 1740397413, issued on Aug 25, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lakewood, CA. The record was last updated on Oct 10, 2023.