| Doctor Name: | REYNALDO M SY |
| NPI Number: | 1184012072 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 689257 |
| Business Practice Address: | 35080 Chandler Ave Spc 68 Calimesa, CA - 923201928 |
| Business Phone Number: | 7143336615 |
| Business Fax Number: | |
| Mailing Address: | 35080 Chandler Ave Spc 68, CALIMESA |
| State: | CA |
| Postal Code: | 923201928 |
| Phone Number: | 7143336615 |
| Fax Number: | |
| NPI Enumeration Date: | 12/31/2014 |
| NPI Last Update Date: | 12/31/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WI0500X |
| License Number: | 689257 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Infusion Therapy |
| Taxonomy Definition: | |