Individual
AMANDA REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2051 MARENGO ST, LOS ANGELES, CA 90033-1352
(323) 409-1000
Mailing address
2051 MARENGO ST, LOS ANGELES, CA 90033-1352
(323) 409-1000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A188959
CA
Other
Enumeration date
03/20/2022
Last updated
08/05/2025
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