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Organization

MANIJEH RYAN MD INC A PROFESSIONAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MANIJEH RYAN MD (PRESIDENT/MEDICAL DIRECTOR)
(925) 765-7761
Entity
Organization

Contact information

Practice address
3838 WATT AVE STE D404, SACRAMENTO, CA 95821-2665
(925) 765-7761
(510) 344-2556
Mailing address
PO BOX 3765, WALNUT CREEK, CA 94598-0765
(925) 349-5158

Taxonomy

Speciality
Code
Description
License number
State
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
A117409
CA
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A117409
CA
208VP0014X
Interventional Pain Medicine Physician
A117409
CA

Other

Enumeration date
11/20/2011
Last updated
06/09/2022
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