MR. EDMOND CHAN REYES INDEPENDENT CORPSMAN
NPI 1659449221
Military Health Care Provider in Sandiego, CA

Active since December 01, 2006
NAVAL AIR STATION NORTH ISLAND, BLDG 290, SANDIEGO, CA 92135(619) 767-1496(619) 767-1497 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Military Health Care Provider

About EDMOND REYES

This page provides the complete NPI Profile along with additional information for Edmond Reyes, a provider established in Sandiego, California with a medical specialization in Military Health Care Provider. The healthcare provider is registered in the NPI registry with number 1659449221 assigned on December 2006. The practitioner's primary taxonomy code is 171000000X. The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1659449221 Verify this NPI
Provider Name
MR. EDMOND CHAN REYES INDEPENDENT CORPSMAN
Gender
Male
Entity Type
Individual
Location Address
NAVAL AIR STATION NORTH ISLAND BLDG 290 SANDIEGO, CA 92135
Location Phone
(619) 767-1496
Location Fax
(619) 767-1497
Mailing Address
35755 CORAL DR WINCHESTER, CA 92596
Mailing Phone
(951) 852-8530
Mailing Fax
(619) 767-1497
Is Sole Proprietor?
No
Enumeration Date
12-01-2006
Last Update Date
07-08-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Military Health Care Provider

Taxonomy Code
171000000X
Type
Other Service Providers
License State
CA
Taxonomy Description
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659449221, enumerated as an "individual" on December 01, 2006.

The provider is located at NAVAL AIR STATION NORTH ISLAND BLDG 290 SANDIEGO, CA 92135 and the phone number is (619) 767-1496.

Military Health Care Provider with taxonomy code 171000000X.