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Anita D Red

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

4760 Sepulveda Blvd, Culver City, CA 90230-4820

PECOS Enrollment

This provider is enrolled in PECOS as ANITA RED.

Based on the most recent information from CMS, provider Anita D Red is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1922266824
Provider Type
Individual
Full Name
Red, Anita D
Title
Dr.
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
5/28/2008
Last Updated
7/21/2011

Contact Information

Practice Location

4760 Sepulveda Blvd, Culver City, CA 90230-4820

(310) 751-5476

(310) 751-5326

Mailing Location

4760 Sepulveda Blvd, Culver City, CA 90230-4820

(310) 751-5476

(310) 751-5326

Provider Taxonomies

Code	Description	License
Code 2084P0800X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License A103739 California

Anita D Red

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Nguyen, Diem Chau

Stager, Kelli

Tolwin, Michael H

Bonds, Curley L.

Dow, Andrew R

Tolwin Psychiatric Medical Group Inc

Breitbart, Jennifer Rebecca

Perrault, Mark D

Kopp, Arthur

Reader, Beverly