Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | G49544 | CA |
NPI | 1295816064 |
---|---|
Provider Name | John F Reinisch |
First Address | Los Angeles, CA 90054-0679 |
Second Address | Beverly Hills, CA 90211-1788 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2006 |
Last Update Date | 11/05/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G495440 | (05) | CA |
A92911 | (02) | CA |