Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 30417 | CA |
Y | 213EG0000X | General Practice | 30417 | CA |
NPI | 1003926817 |
---|---|
Provider Name | Dr. Cynthia Rae Reinking |
First Address | Anaheim, CA 92807-3624 |
Second Address | Placentia, CA 92870-6723 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 08/07/2007 |