Provider Demographics
NPI:1174739668
Name:REED, CHRISTOPHER STRYKER (LAC)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:STRYKER
Last Name:REED
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:CHRISTOPHER
Other - Middle Name:STRYKER
Other - Last Name:REED
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1750 N SERRANO AVE
Mailing Address - Street 2:APT. 501
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027-3443
Mailing Address - Country:US
Mailing Address - Phone:323-465-3341
Mailing Address - Fax:323-913-7994
Practice Address - Street 1:4443 SUNSET DR
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-6043
Practice Address - Country:US
Practice Address - Phone:323-913-1864
Practice Address - Fax:323-913-7994
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA5174171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist