JEFFTREY R. REISS M.D. – NPI #1477650935
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

JEFFTREY REISS is a physician located in HUNTINGTON PARK, CA. NPPES has assigned the NPI number 1477650935 to JEFFTREY REISS on September 19, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 19 years ago on Oct 02, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JEFFTREY REISS below.

NPI Profile for
JEFFTREY R. REISS

NPI Number
1477650935
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JEFFTREY R. REISS
Credentials
M.D.
Primary location
2675 E SLAUSON AVE
HUNTINGTON PARK, CA 90255-2926
Phone: (213) 589-6681 Fax:
Mailing address
P.O. BOX 12483
MARINA DEL REY, CA 90295
Phone: (818) 517-1888 Fax:
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
CA A36946
207VG0400X
- Obstetrics & Gynecology / Gynecology
CA A36946

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.