Individual
RYAN TABAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12665 GARDEN GROVE BLVD, SUITE 401, GARDEN GROVE, CA 92843-1901
(714) 534-8373
(714) 534-8759
Mailing address
12665 GARDEN GROVE BLVD, SUITE 401, GARDEN GROVE, CA 92843-1901
(714) 534-8373
(714) 534-8759
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A99816
CA
Other
Enumeration date
03/18/2007
Last updated
03/04/2016
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