Individual
DR. RYAN MICHAEL GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, MS
Contact information
Practice address
8720 W SUNSET BLVD UNIT C, LOS ANGELES, CA 90069-2206
(630) 569-1287
(310) 878-2540
Mailing address
8720 W SUNSET BLVD UNIT C, LOS ANGELES, CA 90069-2206
(630) 569-1287
(310) 878-2540
Taxonomy
Speciality
Code
Description
License number
State
2083S0010X
Sports Medicine (Preventive Medicine) Physician
Primary
20A15602
CA
Other
Enumeration date
04/06/2015
Last updated
11/06/2019
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