| George J. Rederich, Md, Inc. | |
|
520 N Prospect Ave Suite 309 Redondo Beach CA 90277-3041 | |
| (310) 376-9492 | |
| Not Available |
| Full Name | George J. Rederich, Md, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 520 N Prospect Ave, Redondo Beach, California |
| Authorized Official Name and Position | George Joseph Rederich (PRESIDENT) |
| Authorized Official Contact | 3103769492 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| George J. Rederich, Md, Inc. 520 N Prospect Ave Suite 309 Redondo Beach CA 90277-3041 Ph: () - | George J. Rederich, Md, Inc. 520 N Prospect Ave Suite 309 Redondo Beach CA 90277-3041 Ph: (310) 376-9492 |
| NPI Number | 1982818985 |
|---|---|
| Provider Enumeration Date | 05/09/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2466629639 |
|---|---|
| Medicare Enrollment ID | O20120112000045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982818985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | G36414 (California) | Primary |
| Provider Name | George J Rederich |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649212309 PECOS PAC ID: 2466409008 Enrollment ID: I20050405001258 |
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