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NPI Code Detail

MEDICARE: DR. PAUL S REEHAL M.D.

MEDICARE: DR. PAUL S REEHAL 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
1207QS0010XSports Medicine (Family Medicine) PhysicianA87834CA

General Provider Information

NPI Number : 1821279233
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL S REEHAL M.D.
Provider Business Mailing Address
First Line : 145 S HOLLISTON AVE APT B
Second Line :
City : PASADENA
State : CA
Zip : 91106-2627
Country : US
Telephone Number : 323-369-5179
Fax Number :
Provider Business Practice Location Address
First Line : 145 S HOLLISTON AVE APT B
Second Line :
City : PASADENA
State : CA
Zip : 91106-2627
Country : US
Telephone Number : 323-369-5179
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2007
Last Update Date : 09/15/2010

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Directions to “ DR. PAUL S REEHAL M.D.” Practice Location

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