MEDICARE: DR. MICHAEL STEPHEN REDER 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	207Y00000X	Otolaryngology Physician	C34552	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912919820
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL STEPHEN REDER M.D.

Provider Business Mailing Address
First Line	:	16500 VENTURA BLVD
Second Line	:	SUITE 320
City	:	ENCINO
State	:	CA
Zip	:	91436-2011
Country	:	US
Telephone Number	:	818-986-1200
Fax Number	:	818-986-3011

Provider Business Practice Location Address
First Line	:	16500 VENTURA BLVD
Second Line	:	SUITE 320
City	:	ENCINO
State	:	CA
Zip	:	91436-2011
Country	:	US
Telephone Number	:	818-986-1200
Fax Number	:	818-986-3011

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

Provider Enumeration Date	:	08/12/2006
Last Update Date	:	01/19/2015

Similar Medicare Providers

1275886624 — SARAH MAY YOO M.S.
Practice Location Address:

16500 VENTURA BLVD , SUITE 414
ENCINO, CA
91436-2011

Practice Phone: 818-788-1003
Practice Fax:

1770968612 — GAYANE MARDYAN
Practice Location Address:

16500 VENTURA BLVD , 414
ENCINO, CA
91436-2011

Practice Phone: 818-788-1003
Practice Fax:

1689663395 — ROBERT E ENGSTROM JR. M.D.
Practice Location Address:

16500 VENTURA BLVD , SUITE 250
ENCINO, CA
91436-2011

Practice Phone: 818-788-9333
Practice Fax: 818-788-9273

1831188341 — SANDY Y. LEE M.D.
Practice Location Address:

16500 VENTURA BLVD , SUITE 250
ENCINO, CA
91436-2011

Practice Phone: 818-788-9333
Practice Fax: 818-788-9273

1245298256 — VITALITY HEALTHCARE MEDICAL CORP
Practice Location Address:

16500 VENTURA BLVD , SUITE 414
ENCINO, CA
91436-2011

Practice Phone: 818-382-7880
Practice Fax: 818-382-7886

1467465344 — MR. BIJAN DANESHGAR MD
Practice Location Address:

16500 VENTURA BLVD , STE 222
ENCINO, CA
91436-2011

Practice Phone: 818-905-6111
Practice Fax: 818-905-3250

Directions to “ DR. MICHAEL STEPHEN REDER M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.