Provider Demographics
NPI:1386861953
Name:GARCIA-REYES, MARIA LINA G (REGISTERED NURSE)
Entity type:Individual
Prefix:MRS
First Name:MARIA LINA
Middle Name:G
Last Name:GARCIA-REYES
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3249 SAN FRANCISCO AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90806-1215
Mailing Address - Country:US
Mailing Address - Phone:562-492-6892
Mailing Address - Fax:
Practice Address - Street 1:3249 SAN FRANCISCO AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-1215
Practice Address - Country:US
Practice Address - Phone:562-492-6892
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA487912163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator