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NPI Code Detail

MEDICARE: MR. ARTHUR REYNO FLOREZA MD

MEDICARE: MR. ARTHUR REYNO FLOREZA MD
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
12084P0804XChild & Adolescent Psychiatry PhysicianA76400CA

General Provider Information

NPI Number : 1083750186
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ARTHUR REYNO FLOREZA MD
Provider Business Mailing Address
First Line : 650 S BASCOM AVE
Second Line :
City : SAN JOSE
State : CA
Zip : 95128-2601
Country : US
Telephone Number : 408-793-5870
Fax Number : 408-275-6716
Provider Business Practice Location Address
First Line : 650 S BASCOM AVE
Second Line :
City : SAN JOSE
State : CA
Zip : 95128-2601
Country : US
Telephone Number : 408-793-5870
Fax Number : 408-275-6716
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2007
Last Update Date : 03/03/2008

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