Redding, David Leroy

Redding, David Leroy is an individual health care provider with primary practice located at 795 E Second Street Suite 5, Pomona CA 91766-2007. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine is his primary health care specialty. Redding, David Leroy can be contacted via phone (909) 865-2565.

Contact Information

Primary practice address
795 E Second Street Suite 5 Pomona CA 91766-2007
Phone: (909) 865-2565
Fax: (909) 865-2955
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine 204C00000X 20A6636 California
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X 20A6636 California

Profile Details

NPI number 1215050299
LBN Legal business name Redding, David Leroy
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2007
Last updated Jun 15th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215050299 NPPES
California MEDICAID 00AX66360

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