Individual
RYAN CONAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
380 PALOS VERDES DR W, PALOS VERDES ESTATES, CA 90274-1212
(310) 483-5384
Mailing address
2404 N MAPLE GROVE RD, ORANGE, CA 92867-1911
(310) 483-5384
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
779632
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95000575
CA
Other
Enumeration date
05/24/2016
Last updated
07/16/2022
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