Los Reyes Clinica Medica Urgencias Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LOS REYES CLINICA MEDICA URGENCIAS INC.

Practice address

7934 Seville Ave
Walnut Park, CA 90255-6804

Phone

(323) 584-9644

Fax

(323) 583-0012

NPI assigned

Jul 9, 2011

Last updated

Nov 7, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Edgar Reyes, PA-C

Title

Cfo

Phone

(323) 584-9644

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1310169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1194012294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 SANTA ANA ST",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902802021",
            "telephone_number": "323-584-9644",
            "fax_number": "323-583-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7934 SEVILLE AVE",
            "city": "WALNUT PARK",
            "state": "CA",
            "postal_code": "902556804",
            "telephone_number": "323-584-9644",
            "fax_number": "323-583-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS REYES CLINICA MEDICA URGENCIAS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-09",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "323-584-9644",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Walnut Park, CA
• Providers in Walnut Park, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.