Individual
ANJANI T REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1920 COLORADO AVE, SANTA MONICA, CA 90404-3414
(310) 319-4700
(310) 453-5376
Mailing address
5767 W CENTURY BLVD, 400, LOS ANGELES, CA 90045-5631
(310) 319-4700
(310) 453-5676
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A115706
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891086948
CALIFORNIA CHILDRENS SERVICES (CCS) PANELED
CA
05
—
1891086948
—
CA
Enumeration date
04/25/2011
Last updated
02/09/2012
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