Healthcare Provider Details

I. General information

NPI: 1447189337
Provider Name (Legal Business Name): RICHARD REITLER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2026
Last Update Date: 05/16/2026
Certification Date: 05/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 W HUNTINGTON DR
ARCADIA CA
91007-3402
US

IV. Provider business mailing address

6248 N SAN GABRIEL BLVD APT 11
SAN GABRIEL CA
91775-2446
US

V. Phone/Fax

Practice location:
  • Phone: 626-898-8000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN95340740
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: