Individual
DR. MICHAEL STEPHEN REDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16500 VENTURA BLVD, SUITE 320, ENCINO, CA 91436-2011
(818) 986-1200
(818) 986-3011
Mailing address
16500 VENTURA BLVD, SUITE 320, ENCINO, CA 91436-2011
(818) 986-1200
(818) 986-3011
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
C34552
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1089517
—
CA
Enumeration date
08/12/2006
Last updated
01/19/2015
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