MEDICARE: DR. RUTH ANNE REID-THORNTON M.D.

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	208100000X	Physical Medicine & Rehabilitation Physician	G86865	CA

General Provider Information

NPI Number	:	1770538886
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RUTH ANNE REID-THORNTON M.D.

Provider Business Mailing Address
First Line	:	5318 E 2ND ST UNIT 790
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90803-5324
Country	:	US
Telephone Number	:	312-635-0973
Fax Number	:

Provider Business Practice Location Address
First Line	:	2625 E 4TH ST
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90814-1205
Country	:	US
Telephone Number	:	562-434-0973
Fax Number	:

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

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	01/05/2026

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