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NPI Code Detail

MEDICARE: GIA ALEXANDRIA REYES

MEDICARE: GIA ALEXANDRIA 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
1363A00000XPhysician Assistant
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1396585063
Entity Type Code : Individual
Provider Name (Legal Business Name) : GIA ALEXANDRIA REYES
Provider Business Mailing Address
First Line : 5105 E HENLEY PL UNIT B
Second Line :
City : VILLA PARK
State : CA
Zip : 92867-1659
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2570 48TH ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95817-1541
Country : US
Telephone Number : 714-353-4728
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2024
Last Update Date : 12/11/2025

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Directions to “ GIA ALEXANDRIA REYES ” Practice Location

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