| Sean Ryan, M.d., A Professional Corporation | |
|
9404 Genesee Ave Ste 335 La Jolla CA 92037-1355 | |
| (858) 622-0622 | |
| (949) 587-1142 |
| Full Name | Sean Ryan, M.d., A Professional Corporation |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 9404 Genesee Ave Ste 335, La Jolla, California |
| Authorized Official Name and Position | Sean Michael Ryan (OWNER/PRESIDENT) |
| Authorized Official Contact | 8586220622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sean Ryan, M.d., A Professional Corporation 9404 Genesee Ave Ste 335 La Jolla CA 92037-1355 Ph: (858) 622-0622 | Sean Ryan, M.d., A Professional Corporation 9404 Genesee Ave Ste 335 La Jolla CA 92037-1355 Ph: (858) 622-0622 |
| NPI Number | 1023758455 |
|---|---|
| Provider Enumeration Date | 04/01/2022 |
| Last Update Date | 04/01/2022 |
| Certification Date | 04/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023758455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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