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

Reynaldo L Reyes Jr., PHYSICIANASSISTANT

Individual provider Medical Physician Assistant · NPI 1306800644

Reynaldo L Reyes Jr., PHYSICIANASSISTANT is a Medical Physician Assistant in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
Specialties on file
2

Practice location Address checks out

35000 Guadalcanal St Branch Medical Clinic Marine Corps Recruit Depot
San Diego, CA 92140
Phone: (619) 532-4056
Show map & directions

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

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X
Medical Physician Assistant Taxonomy 363AM0700X · Licence 58601 (CA)

Record details

NPI number1306800644
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedApril 13, 2006
Last updated in NPPESSeptember 22, 2022
Certification dateSeptember 22, 2022

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