Individual
DR. DAVID LEROY REDDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
795 E SECOND STREET, SUITE 5, POMONA, CA 91766-2007
(909) 865-2565
(909) 865-2955
Mailing address
795 E SECOND STREET, SUITE 5, POMONA, CA 91766-2007
(909) 865-2565
(909) 865-2955
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
20A6636
CA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
20A6636
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX66360
—
CA
Enumeration date
04/06/2007
Last updated
06/15/2012
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