Dr Rey De Los Angeles, Md, Llc | |
1811 W 2nd St Suite 245 Grand Island NE 68803-5413 | |
(308) 384-4739 | |
(308) 384-9195 |
Full Name | Dr Rey De Los Angeles, Md, Llc |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1811 W 2nd St, Grand Island, Nebraska |
Authorized Official Name and Position | Reynaldo A De Los Angeles (PRESIDENT) |
Authorized Official Contact | 3083844739 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dr Rey De Los Angeles, Md, Llc 1811 W 2nd St Suite 245 Grand Island NE 68803-5413 Ph: (308) 384-4739 | Dr Rey De Los Angeles, Md, Llc 1811 W 2nd St Suite 245 Grand Island NE 68803-5413 Ph: (308) 384-4739 |
NPI Number | 1215163696 |
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Provider Enumeration Date | 05/30/2009 |
Last Update Date | 05/30/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215163696 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 18636 (Nebraska) | Primary |
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