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Scott Lawrence Ryan, BVMS

Emergency Medicine in San Clemente, CA. Individual provider (NPI-1).

NPI number1093361925
StatusActive
Last updated in NPPESAug 15, 2019

Details

NPI
1093361925
Entity type
Individual (NPI-1)
Name
Scott Lawrence Ryan
Credential
BVMS
Sex
Male
Sole proprietor
No
Enumeration date
Aug 15, 2019
Last updated
Aug 15, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine240872KYYes

Practice location

1833 S El Camino Real
San Clemente, CA 92672-3245

Phone 949-492-5777

Mailing address

9 Elliot Ln
Trabuco Canyon, CA 92679-5155

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