MEDICARE: SEAN REYNOLDS

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	225100000X	Physical Therapist	32312	CA

General Provider Information

NPI Number	:	1790140473
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEAN REYNOLDS

Provider Business Mailing Address
First Line	:	819 TARENTO DR
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92106-2825
Country	:	US
Telephone Number	:	800-330-7711
Fax Number	:

Provider Business Practice Location Address
First Line	:	819 TARENTO DR
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92106-2825
Country	:	US
Telephone Number	:	800-330-7711
Fax Number	:

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

Provider Enumeration Date	:	12/22/2015
Last Update Date	:	12/22/2015

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1073722633 — DR. JONATHAN RUDIN DDS, MS, MPH
Practice Location Address:

5471 CAMINITO EXQUISITO
SAN DIEGO, CA
92130-2825

Practice Phone: 858-792-4600
Practice Fax:

1164606802 — MR. ARNOLD M. LADIS
Practice Location Address:

16634 ROCA DR
SAN DIEGO, CA
92128-2825

Practice Phone: 858-722-9682
Practice Fax:

1295298172 — JAMES GILL DEEP SEA DIVING IDC
Practice Location Address:

2825 SHOUP DR
SAN DIEGO, CA
92110-4866

Practice Phone: 918-605-1335
Practice Fax:

1629685987 — ERIN REEVES RD
Practice Location Address:

8701 LAKE ATHABASKA WAY
SAN DIEGO, CA
92119-2825

Practice Phone: 949-433-3746
Practice Fax:

1043186950 — MS. PATRICIA ANN RILEY LMFT
Practice Location Address:

5415 CAMINITO EXQUISITO
SAN DIEGO, CA
92130-2825

Practice Phone: 858-342-1473
Practice Fax:

Directions to “ SEAN REYNOLDS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.