Individual
RYAN OUILLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 UCLA MEDICAL PLZ STE 170, LOS ANGELES, CA 90024-7001
(858) 534-3880
Mailing address
100 UCLA MEDICAL PLZ STE 170, LOS ANGELES, CA 90024-7001
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
7776
CA
Other
Enumeration date
02/25/2020
Last updated
04/25/2022
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