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Mr. Edmond Chan Reyes, INDEPENDENTCORPSMAN
Military Health Care Provider in Sandiego, California
NPI 1659449221

Edmond Chan Reyes is a Military Health Care Provider based in Winchester, CA. Edmond Chan Reyes practices in Sandiego, CA and has the professional credentials of INDEPENDENTCORPSMAN. The NPI Number for Edmond Chan Reyes is 1659449221 and holds a License No. (California).

The current practice location address for Edmond Chan Reyes is Naval Air Station North Island, Sandiego, CA and can be reached out via phone at 619-767-1496 and via fax at 619-767-1497.

Location: Naval Air Station North Island, Sandiego, CA, 92596
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659449221
Provider Name
Edmond Chan Reyes
Credential
INDEPENDENTCORPSMAN
Provider Entity Type
Individual
Gender
Male
Address
Naval Air Station North Island, Sandiego, CA, 92596
Phone Number
619-767-1496
Fax Number
619-767-1497
Provider Enumeration Date
12/01/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
Naval Air Station North Island
City
Sandiego
State
California
Zip
92135
Phone Number
619-767-1496
Fax Number
619-767-1497
person
Provider Business Mailing Address Details
Address
Naval Air Station North Island
City
Sandiego
State
California
Zip
92135
Phone Number
619-767-1496
Fax Number
619-767-1497
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
(California)
Definition
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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