Individual provider · NPI-1

Dr. Ryan Abbott, M.D.

General Practice · Los Angeles, CA

NPI number1194016030
StatusActive
Last updated in NPPESJul 30, 2014

Details

NPI
1194016030
Entity type
Individual (NPI-1)
Name
Dr. Ryan Abbott
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Apr 26, 2011
Last updated
Jul 30, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208D00000X General PracticeA122515CAYes

Practice location

3050 Wilshire Blvd
Suite 401
Los Angeles, CA 90010-1106

Phone 310-951-5706

Mailing address

3050 Wilshire Blvd
Suite 401
Los Angeles, CA 90010-1106

Phone 310-951-5706

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