MEDICARE: JEANETTE 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
1	225400000X	Rehabilitation Practitioner
2	237700000X	Hearing Instrument Specialist	8929	CA

General Provider Information

NPI Number	:	1437442746
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEANETTE REYES

Provider Business Mailing Address
First Line	:	5555 GARDEN GROVE BLVD STE 200
Second Line	:
City	:	WESTMINSTER
State	:	CA
Zip	:	92683-8234
Country	:	US
Telephone Number	:	714-804-5725
Fax Number	:

Provider Business Practice Location Address
First Line	:	1135 E ROUTE 66 STE 111
Second Line	:
City	:	GLENDORA
State	:	CA
Zip	:	91740-3778
Country	:	US
Telephone Number	:	626-914-5661
Fax Number	:

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

Provider Enumeration Date	:	05/19/2011
Last Update Date	:	06/25/2024

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Directions to “ JEANETTE REYES ” Practice Location

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