Search › California › 101YM0800X
Theo Reynolds
NPI 1053269936 · on the registry since 2026 · sole proprietor
Practice
- Address
- 6810 Broadway Ter
Oakland, CA 94611 - Phone
- (408) 623-1970
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-03-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California