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Contact Information

TIMOTHY RYAN, MD
10833 LE CONTE AVE
LOS ANGELES, CA90095
 Phone: 310-825-4721
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for TIMOTHY RYAN · (Male)

NPI Number 1063858215
Status Active
Credentials MD
Entity Individual
Enumeration date 05/15/2013
Last updated 08/13/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # A135608
Hospital affiliation(s)
  • FAIRBANKS MEMORIAL HOSPITAL - (Acute Care)
    1650 COWLES STREET
    FAIRBANKS, AK 99701
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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