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Individual

RYAN P MOLINA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
C.O.

Contact information

Practice address
2824 E FOOTHILL BLVD, PASADENA, CA 91107-3400
(626) 431-2890
(626) 431-2892
Mailing address
2824 E FOOTHILL BLVD, PASADENA, CA 91107-3400
(626) 431-2890
(626) 431-2892

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CO003823
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CO003823
AMERICAN BOARD ACCREDITATION (ABC) ORTHOTIST
CA
Enumeration date
12/04/2013
Last updated
06/28/2023
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