Individual
OLEG A RYABININ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 MERCY CIRCLE, CAMP PENDLETON, CA 92055
(760) 725-1356
Mailing address
PO BOX 555191, CAMP PENDLETON, CA 92055-5191
(760) 725-1356
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2022-01752
NC
208600000X
Surgery Physician
Primary
A132400
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
02/25/2013
Last updated
08/09/2024
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