SearchCalifornia101YA0400X

Brent Reesha

NPI 1891299855 · on the registry since 2018 · sole proprietor

Practice

Address
1003 S Beacon St
San Pedro, CA 90731
Phone
(310) 514-4940
Clinicians at this address
32

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-03-22

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