Individual
EHSAN ESLAMI RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15071 IMPERIAL HWY, LA MIRADA, CA 90638-1302
(562) 947-7000
Mailing address
15071 IMPERIAL HWY, LA MIRADA, CA 90638-1302
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
100151
CA
Other
Enumeration date
04/26/2016
Last updated
09/27/2022
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