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NPI Code Detail

MEDICARE: MARILYN REGLOS CUA

MEDICARE: MARILYN REGLOS CUA
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
1163WP0808XPsychiatric/Mental Health Registered Nurse95438808CA
2164X00000XLicensed Vocational Nurse6855126CA

General Provider Information

NPI Number : 1760149678
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARILYN REGLOS CUA
Provider Business Mailing Address
First Line : 6060 N PARAMOUNT BLVD
Second Line :
City : LONG BEACH
State : CA
Zip : 90805-3711
Country : US
Telephone Number : 562-634-9534
Fax Number :
Provider Business Practice Location Address
First Line : 6060 N PARAMOUNT BLVD
Second Line :
City : LONG BEACH
State : CA
Zip : 90805-3711
Country : US
Telephone Number : 562-634-9534
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/26/2021
Last Update Date : 02/25/2026

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Directions to “ MARILYN REGLOS CUA ” Practice Location

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