Provider Demographics
NPI:1922266824
Name:RED, ANITA D (MD)
Entity Type:Individual
Prefix:DR
First Name:ANITA
Middle Name:D
Last Name:RED
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4760 SEPULVEDA BLVD
Mailing Address - Street 2:
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90230-4820
Mailing Address - Country:US
Mailing Address - Phone:310-751-5476
Mailing Address - Fax:310-751-5326
Practice Address - Street 1:4760 SEPULVEDA BLVD
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90230-4820
Practice Address - Country:US
Practice Address - Phone:310-751-5476
Practice Address - Fax:310-751-5326
Is Sole Proprietor?:No
Enumeration Date:2008-05-28
Last Update Date:2011-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA1037392084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry