Dr REINALD ALLEN REVILLA is a male medical professional, specializing in Nurse Practitioner. He graduated in 2017 from Vanderbilt University School Of Medicine.
JUDEN VALDEZ MD INC
23700 CAMINO DEL SOL
TORRANCE
CA
905055017
Tel: 3105301151
Npi | 1821507716 |
Pac Id | 0042569238 |
Professional Enrollment Id | I20180821003691 |
Last Name | REVILLA |
First Name | REINALD |
Middle Name | ALLEN |
Suffix | |
Gender | M |
Credential | |
Medical School Name | VANDERBILT UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 2017 |
Primary Specialty | NURSE PRACTITIONER |
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Organization Legal Name | JUDEN VALDEZ MD INC |
Group Practice Pac Id | 9335272160 |
Number Of Group Practice Members | 2 |
Line 1 Street Address | 23700 CAMINO DEL SOL |
Line 2 Street Address | |
Marker Of Address Line 2 Suppression | |
City | TORRANCE |
State | CA |
Zip Code | 905055017 |
Phone Number | 3105301151 |
Hospital Affiliation Ccn 1 | 050776 |
Hospital Affiliation Lbn 1 | COLLEGE MEDICAL CENTER |
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Professional Accepts Medicare Assignment | Y |
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