Individual
DR. RYAN MATTIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1017 S FAIR OAKS AVE, PASADENA, CA 91105
(626) 403-6200
(626) 403-2580
Mailing address
1017 S FAIR OAKS AVE, PASADENA, CA 91105-2621
(626) 403-6200
(626) 403-2580
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A131777
CA
Other
Enumeration date
07/30/2015
Last updated
06/01/2021
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