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REGINALD SOUTHALL

Physician Assistant

NPI: 1669105854IndividualAccepts Medicare

Specialties, Licenses & Credentials

Student in an Organized Health Care Education/Training Program

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

PA64702(CA)

CMS Specialties

Education

UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE

Class of 2024

Contact & Hours

Via practice · 2 locations total

Address
1000 S Fremont Ave Bldg A-11
Alhambra, CA 91803

Quick Facts

NPI
1669105854
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
2
Locations
2
Years in Practice
2

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