Reinald Allen Revilla (NPI# 1821507716, PAC ID# 0042569238) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1821507716 |
| PAC ID by PECOS | 0042569238 |
| Professional Enrollment ID | I20180821003691 |
| Full Name | Reinald Allen Revilla |
| Organization Legal Name | JUDEN VALDEZ MD INC |
| Address |
23700 Camino Del Sol Torrance CA 90505-5017 |
| Phone Number | 3105301151 |
| Gender | M |
| Medical School | VANDERBILT UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9335272160 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2776 Pacific Ave, Long Beach, CA 90806-2613 | 5629972000 | JUDEN VALDEZ MD INC |
| 23700 Camino Del Sol, Torrance, CA 90505-5017 | 3105301151 | JUDEN VALDEZ MD INC |
| Organization Legal Name | JUDEN VALDEZ MD INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Juden C Valdez | Psychiatry | Juden Valdez Md Inc | 2776 Pacific Ave, Long Beach, CA 90806-2613 |
| Street Address |
23700 CAMINO DEL SOL |
| City | TORRANCE |
| State | CA |
| Zip | 90505-5017 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Manolito B Fidel | Psychiatry | Manolito B. Fidel, M.d., Inc | 23700 Camino Del Sol, Torrance, CA 90505-5017 |
| Hyang Rim Ko | Nurse Practitioner | Addis Medical Group A Medical Corporation | 23700 Camino Del Sol, Torrance, CA 90505-5017 |
| Lisa Kahn | Psychologist, Clinical | Addis Medical Group A Medical Corporation | 23700 Camino Del Sol, Torrance, CA 90505-5017 |
| Jonathan L Brand | Psychiatry | 23700 Camino Del Sol, Torrance, CA 90505-5017 | |
| Kenneth T Abjelina | Psychiatry | 23700 Camino Del Sol, Torrance, CA 90505-5017 | |
| Matthew Wong | Psychiatry | Matthew Wong Md, Inc | 23700 Camino Del Sol, Torrance, CA 90505-5017 |
| Hiruy H Gessesse | Psychiatry | Addis Medical Group A Medical Corporation | 23700 Camino Del Sol, Torrance, CA 90505-5017 |
| Carlos Jordan-manzano | Psychiatry | 23700 Camino Del Sol, Torrance, CA 90505-5017 | |
| Helen Fufor Ntung | Nurse Practitioner | Addis Medical Group A Medical Corporation | 23700 Camino Del Sol, Torrance, CA 90505-5017 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert E Tamayo | Optometry | Maison Optique Optometric Center | 3525 Pacific Coast Hwy, Suite E, Torrance, CA 90505 |
| Linh H Tu | Optometry | Maison Optique Optometric Center | 3525 Pacific Coast Hwy, Suite E, Torrance, CA 90505 |
| David A Bray Jr. | Otolaryngology | 3445 Pacific Coast Hwy, Suite 320, Torrance, CA 90505-0660 | |
| Nhat H Tran | Physical Medicine and Rehabilitation | 3655 W Lomita Blvd, Suite 421, Torrance, CA 90505-1900 | |
| Tai Hon Lin | Internal Medicine | 3655 Lomita Blvd, Suite 101, Torrance, CA 90505-1901 | |
| Thomas S Lin | Internal Medicine | 3655 Lomita Blvd, Suite 101, Torrance, CA 90505-1901 | |
| Tatyana S Sarkisova | Family Medicine | 3655 Lomita Blvd, Suite 108, Torrance, CA 90505-1902 | |
| Gladys E Palomeno | Endocrinology | 3655 Lomita Blvd, Suite 100, Torrance, CA 90505-1905 | |
| Akihiro Mizuta | Family Medicine | 3655 Lomita Blvd, Suite 115, Torrance, CA 90505-1906 | |
| Pooya Lashkari | Podiatry | 3655 Lomita Blvd, Suite 120, Torrance, CA 90505-1907 | |
| Find all physicians in zip 90505 | |||
| City | TORRANCE |
| Zip Code | 90505 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | TORRANCE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Reinald Allen Revilla.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.