Reginald John Southall III
Reginald John Southall III is a Physician Assistant in Los Angeles, California. Graduated from University of Southern California Keck School of Medicine in 2024, 2 years ago. Practices with Cedars-Sinai Medical Care Foundation, a 1,696-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 2
- Trained at
- University of Southern California Keck School of Medicine
- Licensed in
- CA
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
Los Angeles, CANo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 1000 S Fremont Ave Bldg A-11, Alhambra, CA 91803-8800 — (323) 442-1900
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA64702 (CA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1669105854 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 5, 2022 |
| Last updated in NPPES | June 28, 2024 |
| Certification date | June 28, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE |
| Graduated | 2024 (2 years in practice) |
| Group practice | Cedars-Sinai Medical Care Foundation — 1696 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
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