Provider Demographics
NPI:1942665039
Name:ARJUN REYES MD INC
Entity Type:Organization
Organization Name:ARJUN REYES MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHATRIST
Authorized Official - Prefix:
Authorized Official - First Name:ARJUN
Authorized Official - Middle Name:
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-521-1000
Mailing Address - Street 1:893 PATRIOT DR
Mailing Address - Street 2:UNIT A
Mailing Address - City:MOORPARK
Mailing Address - State:CA
Mailing Address - Zip Code:93021-3356
Mailing Address - Country:US
Mailing Address - Phone:805-531-1000
Mailing Address - Fax:805-531-1100
Practice Address - Street 1:893 PATRIOT DR
Practice Address - Street 2:UNIT A
Practice Address - City:MOORPARK
Practice Address - State:CA
Practice Address - Zip Code:93021-3356
Practice Address - Country:US
Practice Address - Phone:805-531-1000
Practice Address - Fax:805-531-1100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-16
Last Update Date:2015-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG771732084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
G77173OtherMEDICARE ID TYPE UNSPECIFIED
CA00G771730OtherCALIFORNIA MEDICAID
CAF74273Medicare UPIN