| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MICHAEL ANGELO REINA | 1639889124 | 2024-11-10 |
Michael Angelo Reina is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1639889124. Registration indicates Michael Angelo Reina is a provider of services with a specialization in Behavioral Health & Social Service Providers, Marriage & Family Therapist (Marriage & Family Therapist, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Marriage & Family Therapist, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Mr. Michael Angelo Reina |
| Practice Office Address | 3420 KENYON ST SAN DIEGO, CA US |
| Practice Office Telephone | 6192216550 |
| Mailing Address | 2914 30TH ST SAN DIEGO, CA 921044920 US |
| Business Telephone | 6192823921 |
| Business Fax | 6192823997 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 2914 30th St | San Diego, CA 921044920 | 6198046633 / 6192823997 |
| Code | Practice | License No State |
|---|---|---|
| 106H00000X PRIMARY | Behavioral Health & Social Service Providers Marriage & Family Therapist Marriage & Family Therapist Behavioral Health/Substance Abuse/Psychiatry Marriage & Family Therapist Behavioral Health & Social Service Providers | 28044
CA |