Individual
MELISSA MARIE REIDER-DEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
300 MEDICAL PLAZA B200, LOS ANGELES, CA 90095-6062
(310) 794-1195
(310) 794-7491
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
NPF10002
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0100020
—
CA
Enumeration date
10/05/2006
Last updated
01/17/2020
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