MEDICARE: DR. JUSTENE ARIANA REYES DC

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	111N00000X	Chiropractor	DC36725	CA

General Provider Information

NPI Number	:	1679358485
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUSTENE ARIANA REYES DC

Provider Business Mailing Address
First Line	:	8712 MAYNE ST
Second Line	:
City	:	BELLFLOWER
State	:	CA
Zip	:	90706-5134
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4195 N VIKING WAY STE F
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90808-1470
Country	:	US
Telephone Number	:	562-420-2112
Fax Number	:	562-420-2110

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

Provider Enumeration Date	:	08/29/2023
Last Update Date	:	08/29/2023

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Directions to “ DR. JUSTENE ARIANA REYES DC” Practice Location

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