DR. JEFFTREY RONALD REISS (NPI# 1477650935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477650935 |
Entity Type | Individual |
Full Name | DR. JEFFTREY RONALD REISS |
Credential | M.D. |
Practice Address |
2675 E Slauson Ave Huntington Park CA 90255-2926 |
Mailing Address |
P.o. Box 12483 Marina Del Rey CA 90295 |
Practice Telephone | 2135896681 |
Mailing Telephone | 8185171888 |
Enumeration Date | 2006-09-19 |
Last Update Date | 2007-10-02 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
A36946 | CA | Allopathic & Osteopathic Physicians |
Y | 208D00000X | General Practice | A36946 | CA | Allopathic & Osteopathic Physicians |
Street Address |
2675 E SLAUSON AVE |
City | HUNTINGTON PARK |
State | CA |
Zip Code | 90255-2926 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386618304 | Pierre Aubert Espenan | Internal Medicine | 2675 E Slauson Ave, All Care Medical Group Inc, Huntington Park, CA 90255 | 2006-02-15 |
1003461096 | Optimal Care Medical Group | Internal Medicine | 2675 E Slauson Ave, Huntington Park, CA 90255-2926 | 2019-08-06 |
1467993790 | Robin Caruso Baltaxe | Health Educator | 2675 E Slauson Ave, Huntington Park, CA 90255-2926 | 2017-03-20 |
1649495987 | Edmond Janfaza | Dentist | 2675 E Slauson Ave, Huntington Park, CA 90255-2926 | 2007-04-13 |
1376665729 | Reynaldo Borja Castillo | General Practice | 2675 E Slauson Ave, Huntington Park, CA 90255-2926 | 2007-04-05 |
1912076480 | Jamal U Siddiqui | Legal Medicine | 2675 E Slauson Ave, Huntington Park, CA 90255-2926 | 2006-11-07 |
1720055429 | All Care Medical Group Inc | Surgery | 2675 E Slauson Ave, All Care Medical Group Inc, Huntington Park, CA 90255 | 2006-03-02 |
1841264694 | Arthur Leonard Keith | Family Medicine | 2675 E Slauson Ave, All Care Medical Group Inc, Huntington Park, CA 90255 | 2006-02-16 |
1659345403 | Romeo Aidana Castillo | Internal Medicine | 2675 E Slauson Ave, All Care Medical Group Inc, Huntington Park, CA 90255 | 2006-02-16 |
1760456529 | Beverly Lewis | Dermatology | 2675 E Slauson Ave, All Care Medical Group Inc, Huntington Park, CA 90255 | 2006-02-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922659424 | Maria Hurtado | Behavior Technician | California St & Pacific Blvd, Walnut Park, CA 90255 | 2019-09-25 |
1356803555 | Cdf Centro De Desarrollo Familiar | Social Worker | 2677 Zoe Ave Suite 120, Huntington Park, CA 90255 | 2019-04-05 |
1710457908 | Toure Marshawn Curry | Rehabilitation Practitioner | 2677 Zoe Ave #304, Huntington Park, CA 90255 | 2018-11-29 |
1508366584 | Kalie Marie Baker | Optometrist | 2614 Gage Ave, Huntington Park, CA 90255 | 2018-02-16 |
1134633027 | Alicia Rizkalla | Case Manager/Care Coordinator | Altamed Pace, 1900 Slauson Street, Huntington Park, CA 90255 | 2017-11-30 |
1205353760 | All Care One Community Health Center | Chiropractor | 7300 Santa Fe Avenue, Huntington Park, CA 90255 | 2017-08-25 |
1447613559 | Peter Vue | Respiratory Therapist, Certified | 6208 Seville Ave., Huntington Park, CA 90255 | 2016-04-05 |
1558720029 | Dr. Edmond Janfaza Dds, Inc. | Dentist | 2675 E. Slauson Ave, #300, Huntington Park, CA 90255 | 2016-02-12 |
1649650979 | Samuel Zaki Dds Inc | Dentist | 7221 Pacific Blvd, Huntington Park, CA 90255 | 2015-06-02 |
1376945808 | Karla Zuniga | Case Manager/Care Coordinator | 3638 E 61st Street, Huntington Park, CA 90255 | 2014-09-16 |
Find all providers in zip 90255 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477069375 | Gage Medical Clinic Inc | General Practice | 3203 E. Florence Ave., Huntington Park, CA 90255-3008 | 2017-12-15 |
1093128688 | Peyman Banooni Medical Group Inc. | General Practice | 6120 Seville Ave, Unit B, Huntington Park, CA 90255-2911 | 2014-06-11 |
1245655240 | La Libertad Medical Clinic Inc | General Practice | 7900 Pacific Blvd, Huntington Park, CA 90255-6662 | 2014-02-27 |
1629251541 | South Atlantic Medical Group | General Practice | 2616 Clarendon Ave, Huntington Park, CA 90255-4120 | 2007-12-13 |
1316135742 | Maria Christina Hernandez | General Practice | 3355 E Gage Ave, Huntington Park, CA 90255-5530 | 2007-10-10 |
1780808188 | Pedro H Ferrer | General Practice | 7511 State St, 7511 State St, Huntington Park, CA 90255-6132 | 2007-04-13 |
1073641098 | Jang Kil Yi | General Practice | 5914 Pacific Bl, Huntington Park, CA 90255-2929 | 2007-03-01 |
1619020724 | Iradj H Nazarian Md Inc | General Practice | 7136 Pacific Blvd, Ste 225, Huntington Park, CA 90255-4783 | 2007-01-19 |
1689741241 | Haydee G Castaneda | General Practice | 2955 E Florence Ave, Huntington Park, CA 90255-5836 | 2006-11-29 |
1376612424 | Charles Sassoon | General Practice | 7723 Pacific Blvd, Huntington Park, CA 90255-6301 | 2006-11-06 |
Find all providers in HUNTINGTON PARK |
City | HUNTINGTON PARK |
Zip Code | 90255 |
Please comment or provide details below to improve the information on DR. JEFFTREY RONALD REISS.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.