Provider Demographics
NPI:1942925128
Name:ALISON REMINICK, MD
Entity Type:Organization
Organization Name:ALISON REMINICK, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:
Authorized Official - Last Name:REMINICK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:858-754-9876
Mailing Address - Street 1:10174 OLD GROVE RD STE 110
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92131-1648
Mailing Address - Country:US
Mailing Address - Phone:858-754-9876
Mailing Address - Fax:833-792-0896
Practice Address - Street 1:10174 OLD GROVE RD STE 110
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92131-1648
Practice Address - Country:US
Practice Address - Phone:858-754-9876
Practice Address - Fax:833-792-0896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-10
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty