Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lilian Reddivalam, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1275461246

Lilian Reddivalam, DO is a Student in an Organized Health Care Education/Training Program in Glendale, California. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1509 Wilson Ter
Glendale, CA 91206-4007
Phone: (818) 409-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1275461246
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 11, 2026
Last updated in NPPESMay 11, 2026
Certification dateMay 11, 2026
Mailing address1839 E Oak Creek Cir, Fresno, CA 93730-3442

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