Reggie Federico

NPI 1114649522 · on the registry since 2022

Practice

Address: 24941 Dracaea Ave
Moreno Valley, CA 92553
Phone: (951) 579-6353
Organisation at this address: Evexia Health Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Additional practice sites

109 E 11th St, Corona, CA

Registry record

Primary taxonomy: 164X00000X
164X00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-08-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California