Provider Demographics
NPI:1598914988
Name:COURTNEY-REINHOLD, LATOYA R (NP)
Entity Type:Individual
Prefix:MS
First Name:LATOYA
Middle Name:R
Last Name:COURTNEY-REINHOLD
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:LATOYA
Other - Middle Name:
Other - Last Name:REINHOLD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:110 N LA BREA AVE
Mailing Address - Street 2:
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90301-1708
Mailing Address - Country:US
Mailing Address - Phone:310-419-3324
Mailing Address - Fax:310-575-3102
Practice Address - Street 1:110 N LA BREA AVE
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90301-1708
Practice Address - Country:US
Practice Address - Phone:310-419-3324
Practice Address - Fax:310-575-3102
Is Sole Proprietor?:No
Enumeration Date:2008-09-10
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18475363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily