| Ryan Miyasaki | |
|
2225 Olympic Blvd Walnut Creek CA 94595-1623 | |
| (925) 934-3251 | |
| (925) 934-2136 |
| Full Name | Ryan Miyasaki |
|---|---|
| Speciality | Dentist |
| Location | 2225 Olympic Blvd, Walnut Creek, California |
| Authorized Official Name and Position | Ryan Miyasaki (OWNER) |
| Authorized Official Contact | 9259343251 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Miyasaki 2225 Olympic Blvd Walnut Creek CA 94595-1623 Ph: (925) 934-3251 | Ryan Miyasaki 2225 Olympic Blvd Walnut Creek CA 94595-1623 Ph: (925) 934-3251 |
| NPI Number | 1023882149 |
|---|---|
| Provider Enumeration Date | 11/09/2023 |
| Last Update Date | 11/09/2023 |
| Medicare PECOS PAC ID | 3779944434 |
|---|---|
| Medicare Enrollment ID | O20230728000801 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023882149 | NPI | - | NPPES |
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