Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mia Carmen Reyes

Individual provider Physician Assistant · NPI 1407517493

Mia Carmen Reyes is a Physician Assistant in Los Angeles, California. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1401 S Grand Ave
Los Angeles, CA 90015-3010
Phone: (213) 748-2411
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1407517493
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 3, 2022
Last updated in NPPESJanuary 3, 2022
Certification dateJanuary 3, 2022

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