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

Individual provider Military Health Care Provider · NPI 1659449221

Mr. Edmond Chan Reyes, INDEPENDENTCORPSMAN is a Military Health Care Provider in Sandiego, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
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Practice location Partly verified

Some contact details are missing from the federal record.

Naval Air Station North Is Bldg 290
Sandiego, CA 92135
Phone: (619) 767-1496
Fax: (619) 767-1497
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Military Health Care Provider (primary) Taxonomy 171000000X (CA)

Record details

NPI number1659449221
Entity typeIndividual (Type 1)
GenderMale
Credentials INDEPENDENTCORPSMAN
Sole proprietorNo
NPI enumeratedDecember 1, 2006
Last updated in NPPESJuly 8, 2007