Individual
MR. RYAN THOMAS CHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 N VERMONT AVE, 5TH FLOOR - DEPT OF DERMATOLOGY, LOS ANGELES, CA 90027-5337
(323) 783-4171
(323) 783-4171
Mailing address
1515 N VERMONT AVE, 5TH FLOOR - DEPT OF DERMATOLOGY, LOS ANGELES, CA 90027-5337
(323) 783-4171
(323) 783-4171
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A136859
CA
Other
Enumeration date
04/30/2013
Last updated
11/04/2021
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