Healthcare Provider Details

I. General information

NPI: 1528334000
Provider Name (Legal Business Name): CHRISTOPHER M REEVES PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2012
Last Update Date: 04/27/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 CITY PKWY W
ORANGE CA
92868-2924
US

IV. Provider business mailing address

505 CITY PKWY W
ORANGE CA
92868-2924
US

V. Phone/Fax

Practice location:
  • Phone: 714-246-8474
  • Fax: 714-954-2297
Mailing address:
  • Phone: 714-246-8474
  • Fax: 714-954-2297

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License NumberRPH63781
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License NumberPS45121
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: