Individual
DEIRDRE D RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4650 W SUNSET BLVD # 69, LOS ANGELES, CA 90027-6062
(323) 361-2450
Mailing address
6430 W SUNSET BLVD, 600, LOS ANGELES, CA 90028-7901
(323) 361-2337
(323) 361-8491
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
36106998
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36106998
—
IL
01
—
K01732
MEDICARE
IL
Enumeration date
02/15/2006
Last updated
09/08/2008
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