| Reuel Mcintyre, | |
| 2050 El Cajon Blvd, San Diego, CA 92104-1007 | |
| (619) 637-9774 | |
| (619) 866-4559 | 
| Full Name | Reuel Mcintyre | 
|---|---|
| Gender | Male | 
| Speciality | Dentist - General Practice | 
| Location | 2050 El Cajon Blvd, San Diego, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1073120135 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 35884 (Texas) | Secondary | 
| 1223G0001X | Dentist - General Practice | 104782 (California) | Primary | 
| Entity Name | Centro De Salud Familiar La Fe, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1629040621 PECOS PAC ID: 7315937448 Enrollment ID: O20050125000164 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Reuel Mcintyre, 8061 Alameda Ave, El Paso, TX 79915-4705 Ph: (915) 859-7545 | Reuel Mcintyre, 2050 El Cajon Blvd, San Diego, CA 92104-1007 Ph: (619) 637-9774 | 
| Dr. Lam Chittaphong, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 9888 Carroll Centre Rd, Suite #120, San Diego, CA 92126 Phone: 858-722-6332 Fax: 888-514-1239 | |
| Malieka Trinee Johnson, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4784 Muir Ave, San Diego, CA 92107 Phone: 619-518-9000 | |
| Dr. Keri Eileen Silva, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 814 Morena Blvd Ste 202, San Diego, CA 92110 Phone: 619-294-3273 Fax: 619-294-7170 | |
| Jonathan Kim, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2050 El Cajon Blvd, San Diego, CA 92104 Phone: 619-637-9774 | |
| Ghassan Adnan Jabbar Jayyar, DMD Dentist Medicare: Medicare Enrolled Practice Location: 286 Euclid Ave Ste 201, San Diego, CA 92114 Phone: 619-263-6683 | |
| Dr. Hemamalini Srinivasan, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4921a Clairemont Dr, San Diego, CA 92117 Phone: 858-272-7300 Fax: 858-272-3135 | |
| Dr. Stanley Lawrence Baquial, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3737 Moraga Ave, Ste B309, San Diego, CA 92117 Phone: 858-581-3641 Fax: 858-581-6135 |