MEDICARE: DR. SHERRY REDDIX MD, MA, MPH

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	207Q00000X	Family Medicine Physician	A189852	CA

General Provider Information

NPI Number	:	1780326835
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHERRY REDDIX MD, MA, MPH

Provider Business Mailing Address
First Line	:	2525 GRAND AVE STE 167
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90815-1765
Country	:	US
Telephone Number	:	562-570-4526
Fax Number	:	562-570-4391

Provider Business Practice Location Address
First Line	:	2525 GRAND AVE STE 167
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90815-1765
Country	:	US
Telephone Number	:	562-570-4526
Fax Number	:	562-570-4391

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

Provider Enumeration Date	:	04/10/2022
Last Update Date	:	03/10/2026

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