Provider Demographics
NPI:1346652997
Name:REED, JAMIAN DIANE (DO)
Entity Type:Individual
Prefix:DR
First Name:JAMIAN
Middle Name:DIANE
Last Name:REED
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:6167 BRISTOL PKWY STE 260
Mailing Address - Street 2:
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90230-6616
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6167 BRISTOL PKWY STE 260
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90230
Practice Address - Country:US
Practice Address - Phone:424-331-5604
Practice Address - Fax:424-331-5600
Is Sole Proprietor?:No
Enumeration Date:2014-05-29
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A148142084P0800X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry