| Mathew Mazo Reynolds, | |
|
10039 Vine St, Lakeside, CA 92040-3120 | |
| (833) 867-4642 | |
| Not Available |
| Full Name | Mathew Mazo Reynolds |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 10039 Vine St, Lakeside, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578171260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-10323 (North Carolina) | Secondary |
| 363A00000X | Physician Assistant | 61945 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mathew Mazo Reynolds, 10039 Vine St, Lakeside, CA 92040-3120 Ph: (833) 867-4642 | Mathew Mazo Reynolds, 10039 Vine St, Lakeside, CA 92040-3120 Ph: (833) 867-4642 |
Lara S Matty, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9149 Single Oak Dr, Lakeside, CA 92040 Phone: 714-306-9969 | |
Christian Michael Kondan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13523 Sohail St, Lakeside, CA 92040 Phone: 619-564-9461 | |
Jacob Thomas Bolz, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 12517 Lakeshore Dr, Lakeside, CA 92040 Phone: 619-443-3843 | |
Holly Mansour, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 12060 Thistle Braes Ter, Lakeside, CA 92040 Phone: 619-672-9346 | |
Zach Glascox, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10039 Vine St, Lakeside, CA 92040 Phone: 740-513-1087 |