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NPI Code Detail

MEDICARE: ANTHONY BRENDEN REYES

MEDICARE:   ANTHONY BRENDEN REYES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorR1570850724CA

General Provider Information

NPI Number : 1710833702
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY BRENDEN REYES
Provider Business Mailing Address
First Line : 17733 BALTAR ST
Second Line :
City : RESEDA
State : CA
Zip : 91335-1508
Country : US
Telephone Number : 747-352-7934
Fax Number :
Provider Business Practice Location Address
First Line : 17733 BALTAR ST
Second Line :
City : RESEDA
State : CA
Zip : 91335-1508
Country : US
Telephone Number : 747-352-7934
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2026
Last Update Date : 03/10/2026

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Directions to “ ANTHONY BRENDEN REYES ” Practice Location

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