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Contact Information

TERESA REYNOSO, MD
26900 NEWPORT RD
SUITE 107
MENIFEE, CA92584-9222
 Phone: 951-301-5380
 Fax: 951-301-5390
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for TERESA REYNOSO · (Female)

NPI # 1720057425
Status Active
Credentials MD
Entity Individual
Enumeration date 03/15/2006
Last updated 05/10/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • HI License # MD13280
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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