Basic Information
| Provider Information | |||||||||
| NPI: | 1629216379 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LOMELI | ||||||||
| FirstName: | REGGIE | ||||||||
| MiddleName: | GIOVANNI | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | IMF | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2 MEDICI AISLE | ||||||||
| Address2: | |||||||||
| City: | IRVINE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926068373 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9497521032 | ||||||||
| FaxNumber: | 9497521032 | ||||||||
| Practice Location | |||||||||
| Address1: | 525 CABRILLO PARK DR STE 300 | ||||||||
| Address2: | |||||||||
| City: | SANTA ANA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 927015017 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7149534455 | ||||||||
| FaxNumber: | 7145422793 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/02/2009 | ||||||||
| LastUpdateDate: | 02/02/2009 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106H00000X | 57491 | CA | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.