MR. EDMOND CHAN REYES INDEPENDENT CORPSMAN
NPI 1659449221
Military Health Care Provider in Sandiego, CA
- 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
- Code Navigator
Location Map
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.