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NPI Code Detail

MEDICARE: DR. KARA ANN REINKE

MEDICARE: DR. KARA ANN REINKE
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
1207N00000XDermatology PhysicianA79861CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1A79861OTHERCAMEDICAL LICENSE
2ZZZ06670ZOTHERCADERMATOLOGY CONSULTANTS OF MARIN, INC. GROUP PIN

General Provider Information

NPI Number : 1457469041
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KARA ANN REINKE
Provider Business Mailing Address
First Line : 823 GATEWAY CENTER WAY
Second Line :
City : SAN DIEGO
State : CA
Zip : 92102-4541
Country : US
Telephone Number : 619-515-2300
Fax Number :
Provider Business Practice Location Address
First Line : 4725 MARKET ST
Second Line :
City : SAN DIEGO
State : CA
Zip : 92102-4715
Country : US
Telephone Number : 619-515-2560
Fax Number : 619-263-2499
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2006
Last Update Date : 08/20/2024

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Directions to “ DR. KARA ANN REINKE ” Practice Location

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