Ryan, Sean Michael

Ryan, Sean Michael is an sole proprietor health care provider with primary practice located at 9850 Genesee Ave Suite 910, La Jolla CA 92037-1224. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Ryan, Sean Michael can be contacted via phone (858) 622-0622.

Contact Information

Primary practice address
9850 Genesee Ave Suite 910 La Jolla CA 92037-1224
Fax: (858) 558-0250
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X A75120 California

Profile Details

NPI number 1821031261
LBN Legal business name Ryan, Sean Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2006
Last updated Oct 22nd, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821031261 NPPES
California MEDICAID 00A751200

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