Provider Demographics
NPI:1063672178
Name:PINEDA, REIMARIE RILLO (MD)
Entity Type:Individual
Prefix:DR
First Name:REIMARIE
Middle Name:RILLO
Last Name:PINEDA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:REIMARIE
Other - Middle Name:ANDAMAN
Other - Last Name:RILLO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:6655 N FRESNO ST
Mailing Address - Street 2:#222
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93710-3717
Mailing Address - Country:US
Mailing Address - Phone:559-439-8702
Mailing Address - Fax:
Practice Address - Street 1:155 N FRESNO ST
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93701-2302
Practice Address - Country:US
Practice Address - Phone:559-499-6500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-12
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA101236207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine