MEDICARE: MRS. MARIA LINA G GARCIA-REYES REGISTERED NURSE

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
1	163WA2000X	Administrator Registered Nurse	487912	CA

General Provider Information

NPI Number	:	1386861953
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARIA LINA G GARCIA-REYES REGISTERED NURSE

Provider Business Mailing Address
First Line	:	3249 SAN FRANCISCO AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90806-1215
Country	:	US
Telephone Number	:	562-492-6892
Fax Number	:

Provider Business Practice Location Address
First Line	:	3249 SAN FRANCISCO AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90806-1215
Country	:	US
Telephone Number	:	562-492-6892
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	07/08/2007

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