# RYAN TABAN, M.D., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548563067
- **Authorized official:** DR. RYAN TABAN M.D. (OWNER)
- **Authorized official phone:** (310) 556-3937

## Contact information

- **Practice address:** 2080 CENTURY PARK E STE 1202, LOS ANGELES, CA 90067-2015
- **Practice address phone:** (310) 556-3937
- **Mailing address:** 2080 CENTURY PARK E STE 1202, LOS ANGELES, CA 90067-2015
- **Mailing address phone:** (310) 556-3937

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | A99816 | CA | Yes |

## Other

- **Enumeration date:** 12/06/2010
- **Last updated:** 10/24/2011