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Organization

WESLEY RYAN MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WESLEY CHRISTOPHER RYAN MD (DIRECTOR)
(424) 272-0774
Entity
Organization

Contact information

Practice address
4519 ADMIRALTY WAY STE 202, MARINA DEL REY, CA 90292-5428
(424) 272-0774
Mailing address
4519 ADMIRALTY WAY STE 202, MARINA DEL REY, CA 90292-5428
(424) 272-0774

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2084P0802X
Addiction Psychiatry Physician
Primary
2084P0804X
Child & Adolescent Psychiatry Physician

Other

Enumeration date
06/09/2022
Last updated
06/09/2022
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