Individual
MR. RYANN GELON BAYLON GESTOPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
18300 ROSCOE BLVD, NORTHRIDGE, CA 91325-4105
(818) 885-8500
Mailing address
18300 ROSCOE BLVD, NORTHRIDGE, CA 91325-4167
(818) 885-8500
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95020694
CA
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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