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Organization
TIMOTHY M. RYAN A MEDICAL CORPORATION
Active
Organization
TIMOTHY M. RYAN A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY M. RYAN M.D. (PRESIDENT)
(310) 792-0601
Entity
Organization
Contact information
Practice address
201 W GARVEY AVE STE 201, MONTEREY PARK, CA 91754-7421
(626) 280-3393
Mailing address
PO BOX 2866, TORRANCE, CA 90509-2866
(310) 792-0601
(310) 792-9062
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A72433
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
A72433
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A724330
BLUE SHIELD
CA
Enumeration date
10/13/2006
Last updated
05/23/2008
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