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NPI Code Detail

MEDICARE: MR. AUBREY REGUINDIN SFIDC

MEDICARE:  MR. AUBREY  REGUINDIN  SFIDC
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
11710I1002XIndependent Duty Corpsman

General Provider Information

NPI Number : 1992177356
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. AUBREY REGUINDIN SFIDC
Provider Business Mailing Address
First Line : 112 SANTA BARBARA AVE
Second Line :
City : DALY CITY
State : CA
Zip : 94014-1045
Country : US
Telephone Number : 650-278-9209
Fax Number :
Provider Business Practice Location Address
First Line : 112 SANTA BARBARA AVE
Second Line :
City : DALY CITY
State : CA
Zip : 94014-1045
Country : US
Telephone Number : 650-278-9209
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2015
Last Update Date : 10/26/2015

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Directions to “ MR. AUBREY REGUINDIN SFIDC” Practice Location

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