Organization
RYAN VITALI, M.D., A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN VITALI M.D. (PRESIDENT/CFO)
(310) 709-3349
Entity
Organization
Contact information
Practice address
1451 SECRET RAVINE PKWY STE 150, ROSEVILLE, CA 95661-6052
(310) 613-5994
Mailing address
1451 SECRET RAVINE PKWY STE 150, ROSEVILLE, CA 95661-6052
(310) 613-5994
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
207XP3100X
Pediatric Orthopaedic Surgery Physician
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
207XX0801X
Orthopaedic Trauma Physician
—
—
Other
Enumeration date
08/11/2015
Last updated
07/21/2025
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