Ryan, Michelle Anne

Ryan, Michelle Anne is an individual health care provider with primary practice located at 10861 Cherry Street Suite 301, Los Alamitos CA 90720-5407. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Ryan, Michelle Anne can be contacted via phone (562) 431-3535.

Contact Information

Primary practice address
10861 Cherry Street Suite 301 Los Alamitos CA 90720-5407
Phone: (562) 431-3535
Fax: (562) 431-6707
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 6057030 California

Profile Details

NPI number 1568511913
LBN Legal business name Ryan, Michelle Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Oct 26th, 2012 - about 14 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 1568511913 NPPES
California MEDICAID 6R0090910

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