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 |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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