person
Reinald Allen Revilla, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Torrance, California
NPI 1821507716

Reinald Allen Revilla is a Psychiatric/Mental Health Nurse Practitioner based in Palos Verdes Peninsula, CA and is specialized in Psychiatric/Mental Health. Reinald Allen Revilla practices in Torrance, CA and has the professional credentials of PMHNP. The NPI Number for Reinald Allen Revilla is 1821507716 and holds a License No. 758060 (California).

The current practice location address for Reinald Allen Revilla is 23700 Camino Del Sol, Torrance, CA and can be reached out via phone at 310-530-1151.

Location: 23700 Camino Del Sol, Torrance, CA, 90274-9607
person
Provider Profile Details
NPI Number
1821507716
Provider Name
Reinald Allen Revilla
Credential
PMHNP
Provider Entity Type
Individual
Gender
Male
Address
23700 Camino Del Sol, Torrance, CA, 90274-9607
Phone Number
310-530-1151
Fax Number
Provider Enumeration Date
09/24/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
23700 Camino Del Sol
City
State
Zip
90505
Phone Number
310-530-1151
Fax Number
person
Provider Business Mailing Address Details
Address
23700 Camino Del Sol
City
State
Zip
90505
Phone Number
310-530-1151
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
95007937 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
758060 (California)
Definition
Definition to come...
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