Most Relevant Information
Provider Data
| NPI Number: | 1003425869 |
| Provider Name: | REYNALDO VARGAS PSYD, LEP |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: | 4040 |
Most Important Dates
| Enumeration Date: | 07/28/2020 |
| Last Updated: | 07/28/2020 |
Provider Practice Location
8811 MARY AVE
LOS ANGELES
CA
900021244
Practice Location Phone/Fax
| Phone: | 6197460679 |
| Fax: |
Provider Mailing Location
8811 MARY AVE
LOS ANGELES
CA
900021244
Provider Mailing Phone/Fax
| Phone: | 6197460679 |
| Fax: |