Organization
SEAN RYAN, M.D., A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN MICHAEL RYAN MD (OWNER/PRESIDENT)
(858) 622-0622
Entity
Organization
Contact information
Practice address
9404 GENESEE AVE STE 335, LA JOLLA, CA 92037-1355
(858) 622-0622
(949) 587-1142
Mailing address
9404 GENESEE AVE STE 335, LA JOLLA, CA 92037-1355
(858) 622-0622
(949) 587-1142
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/01/2022
Last updated
04/01/2022
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