Healthcare Provider Details

I. General information

NPI: 1780326835
Provider Name (Legal Business Name): SHERRY REDDIX MD, MA, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2022
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 GRAND AVE STE 167
LONG BEACH CA
90815-1765
US

IV. Provider business mailing address

2525 GRAND AVE STE 167
LONG BEACH CA
90815-1765
US

V. Phone/Fax

Practice location:
  • Phone: 562-570-4526
  • Fax: 562-570-4391
Mailing address:
  • Phone: 562-570-4526
  • Fax: 562-570-4391

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA189852
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: