MEDICARE: DR. BEVERLY READER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	A112747	CA

General Provider Information

NPI Number	:	1396937868
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BEVERLY READER M.D.

Provider Business Mailing Address
First Line	:	11600 WASHINGTON PL STE 213
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90066-5068
Country	:	US
Telephone Number	:	310-751-0521
Fax Number	:	310-878-3661

Provider Business Practice Location Address
First Line	:	11600 WASHINGTON PL STE 213
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90066-5068
Country	:	US
Telephone Number	:	310-751-0521
Fax Number	:	310-878-3661

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2007
Last Update Date	:	05/20/2026

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