Susan Jean Reynolds in Garden Grove - Pediatrics
Susan Jean Reynolds - NPI 1154459287
Susan Jean Reynolds is a Pediatrics in Garden Grove, California. Susan Jean Reynolds practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Susan Jean Reynolds is 1154459287. The last update date is 2007-07-08.
Susan Jean Reynolds's current location address is 9802 Woodbury Ave, Garden Grove, California. You can contact this provider via phone number 7146636411 and fax number 7146636470. The mailing address for Susan Jean Reynolds is 9802 Woodbury Ave, Garden Grove, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Jean Reynolds |
|---|---|
| Address | 9802 Woodbury Ave, Garden Grove, California |
| Phone Number | 7146636411 |
| Fax Number | 7146636470 |
| Sole Proprietor | N |
| Credentials | RN, CPNP |
NPI Number Detail
| NPI Number | 1154459287 |
|---|---|
| Provider Enumeration Date | 2007-03-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 9802 Woodbury Ave |
|---|---|
| City | Garden Grove |
| State | California (CA) |
| Post Code | 928442819 |
| Phone Number | 7146636411 |
| Fax Number | 7146636470 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 230910 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1458726 | CA | PIN# | |
| SS3066522 | CA | PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique identification code assigned to Susan Jean Reynolds by the Centers for Medicare & Medicaid Services?
The Susan Jean Reynolds has been issued the NPI (National Provider Identifier) 1154459287. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Susan Jean Reynolds is located?
The Susan Jean Reynolds is situated at the following address: 9802 Woodbury Ave, Garden Grove, CA, 928442819.
What is Susan Jean Reynolds's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Susan Jean Reynolds is Pediatrics, and the taxonomy code that categorizes this field of expertise is 363Lp0200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1154459287 to Susan Jean Reynolds?
The Centers for Medicare & Medicaid Services assigned the 1154459287 to Susan Jean Reynolds on 2007-03-01.
As of what date was the information regarding Susan Jean Reynolds, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Susan Jean Reynolds, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.