Provider Demographics
NPI:1447644729
Name:REYES, ARTURO TOMAS
Entity type:Individual
Prefix:
First Name:ARTURO
Middle Name:TOMAS
Last Name:REYES
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1464 MADERA RD STE N
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-3063
Mailing Address - Country:US
Mailing Address - Phone:805-501-7346
Mailing Address - Fax:
Practice Address - Street 1:1464 MADERA RD STE N
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-3063
Practice Address - Country:US
Practice Address - Phone:805-501-7346
Practice Address - Fax:805-751-6914
Is Sole Proprietor?:No
Enumeration Date:2015-03-24
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
CA124135106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health