Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207YS0123X | Facial Plastic Surgeon | G24550 | CA |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | G24550 | CA |
NPI | 1326051657 |
---|---|
Provider Name | Dr. Alvin Reiter |
First Address | Los Angeles, CA 90049-2414 |
Second Address | Los Angeles, CA 90049-2414 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2006 |
Last Update Date | 08/07/2007 |