Individual
MR. RYAN TAKATANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
10670 JOHN J HOPKINS DR, SAN DIEGO, CA 92121-1120
(858) 554-8984
(858) 554-5055
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 554-8984
(858) 554-5055
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA20060
CA
Other
Enumeration date
03/04/2009
Last updated
01/06/2022
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