Individual
DC-RYAN B SENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2643 SANTA ANA ST, SOUTH GATE, CA 90280-2025
(323) 277-9010
Mailing address
PO BOX 93723, CITY OF INDUSTRY, CA 91715-3723
(323) 277-9010
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA15984
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74-3050085
GROUP TAX ID#
CA
05
—
GR0092891
—
CA
01
—
PA15984
LICENSE
CA
Enumeration date
08/17/2007
Last updated
10/08/2014
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