Antonio Reyes JR.
Orthotic Fitter
660 E Regent St
Inglewood
, California 90301-1415
Antonio Reyes JR.
Orthotic Fitter
660 E Regent St
Inglewood
, California 90301-1415
(310) 674-0120
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About
Features
Specialties
- Orthotic Fitter
Languages spoken
- English
Location
First Address
- Antonio Reyes JR.
- 660 E Regent St
- Inglewood, CA
- Zip : 90301-1415
- Fax : (310) 674-0120
- Phone : (310) 674-9179
Second Address
- Antonio Reyes JR.
- 660 E Regent St
- Inglewood, CA
- Zip : 90301-1415
- Fax : (310) 674-0120
- Phone : (310) 674-9179
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What type of doctor is Antonio Reyes JR.
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Is Antonio Reyes JR. a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | CA |
National Provider Identifier
| NPI | 1740759083 |
|---|---|
| Provider Name | Antonio Reyes JR. |
| First Address | Inglewood, CA 90301-1415 |
| Second Address | Inglewood, CA 90301-1415 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/11/2018 |
| Last Update Date | 15/11/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 900676339 | IRS (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.