Individual
DEEPTHI DEVIREDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8405 BEVERLY BLVD, LOS ANGELES, CA 90048-3401
(323) 653-1990
Mailing address
1837 SANTA YNEZ ST, LOS ANGELES, CA 90026-4111
(469) 401-9986
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS111310
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/03/2024
Last updated
07/29/2025
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