Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | A109185 | CA |
N | 207YS0123X | Facial Plastic Surgeon | A109185 | CA |
NPI | 1225260862 |
---|---|
Provider Name | Dr. David R Reinstadler |
First Address | Newport Beach, CA 92663-1049 |
Second Address | Newport Beach, CA 92663-3505 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2009 |
Last Update Date | 25/11/2015 |