# WESLEY RYAN MD PC

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

## Provider details

- **NPI number:** 1588393847
- **Authorized official:** DR. WESLEY CHRISTOPHER RYAN MD (DIRECTOR)
- **Authorized official phone:** (424) 272-0774

## Contact information

- **Practice address:** 4519 ADMIRALTY WAY STE 202, MARINA DEL REY, CA 90292-5428
- **Practice address phone:** (424) 272-0774
- **Mailing address:** 4519 ADMIRALTY WAY STE 202, MARINA DEL REY, CA 90292-5428
- **Mailing address phone:** (424) 272-0774

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 2084P0802X | Addiction Psychiatry Physician | — | NULL | Yes |
| 2084P0802X | Addiction Psychiatry Physician | — | — | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | — |

## Other

- **Enumeration date:** 06/09/2022
- **Last updated:** 06/09/2022