MEDICARE: MICHELLE HUTCHINSON REDDY MD

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	207V00000X	Obstetrics & Gynecology Physician	A65661	CA

General Provider Information

NPI Number	:	1063477891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE HUTCHINSON REDDY MD

Provider Business Mailing Address
First Line	:	10861 CHERRY ST STE 308
Second Line	:
City	:	LOS ALAMITOS
State	:	CA
Zip	:	90720-5403
Country	:	US
Telephone Number	:	562-595-1961
Fax Number	:	562-595-5351

Provider Business Practice Location Address
First Line	:	10861 CHERRY ST STE 308
Second Line	:
City	:	LOS ALAMITOS
State	:	CA
Zip	:	90720-5403
Country	:	US
Telephone Number	:	562-595-1961
Fax Number	:	562-595-5351

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

Provider Enumeration Date	:	04/17/2006
Last Update Date	:	02/14/2025

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