Provider Demographics
NPI:1164064408
Name:REINHART, JOHN KNISER I
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:KNISER
Last Name:REINHART
Suffix:I
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1531 E HUENEME RD
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93033-8615
Mailing Address - Country:US
Mailing Address - Phone:707-803-7087
Mailing Address - Fax:
Practice Address - Street 1:1531 E HUENEME RD
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93033-8615
Practice Address - Country:US
Practice Address - Phone:707-803-7087
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-08
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA5430-1101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor