| Cipriano M De Los Reyes Jr Md Inc | |
|
2644 Appian Way #111 Pinole CA 94564-2240 | |
| (510) 222-2121 | |
| (510) 222-2126 |
| Full Name | Cipriano M De Los Reyes Jr Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2644 Appian Way, Pinole, California |
| Authorized Official Name and Position | Cipriano M De Los Reyes (PRESIDENT OWNER) |
| Authorized Official Contact | 5102222121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cipriano M De Los Reyes Jr Md Inc 2644 Appian Way #111 Pinole CA 94564-2240 Ph: (510) 222-2121 | Cipriano M De Los Reyes Jr Md Inc 2644 Appian Way #111 Pinole CA 94564-2240 Ph: (510) 222-2121 |
| NPI Number | 1114011186 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114011186 | NPI | - | NPPES |
| 00A295370 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A29537 (California) | Primary |
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