Provider Demographics
NPI:1558683037
Name:REYMAN, VICTORIA ANNA (RN,NP,CNS,)
Entity Type:Individual
Prefix:MS
First Name:VICTORIA
Middle Name:ANNA
Last Name:REYMAN
Suffix:
Gender:F
Credentials:RN,NP,CNS,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11525 BROOKSHIRE AVE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-4985
Mailing Address - Country:US
Mailing Address - Phone:562-862-3684
Mailing Address - Fax:562-862-7145
Practice Address - Street 1:11525 BROOKSHIRE AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-4985
Practice Address - Country:US
Practice Address - Phone:562-862-3684
Practice Address - Fax:562-862-7145
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-24
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19312363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology