MEDICARE: DR. MARTY REED

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	207X00000X	Orthopaedic Surgery Physician	A85621	CA

General Provider Information

NPI Number	:	1316021975
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARTY REED

Provider Business Mailing Address
First Line	:	1200 N STATE ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90089-1001
Country	:	US
Telephone Number	:	323-226-2170
Fax Number	:	323-226-5760

Provider Business Practice Location Address
First Line	:	1200 N STATE ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90089-1001
Country	:	US
Telephone Number	:	323-226-2170
Fax Number	:	323-226-5760

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

Provider Enumeration Date	:	10/24/2006
Last Update Date	:	01/04/2022

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Directions to “ DR. MARTY REED ” Practice Location

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