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Contact Information

RYAN MATTIE, MD
1017 S FAIR OAKS AVE
PASADENA, CA91105
 Phone: 626-403-6200
 Fax: 626-403-2580
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for RYAN MATTIE · (Male)

NPI # 1245615350
Status Active
Credentials MD
Entity Individual
Enumeration date 07/30/2015
Last updated 06/01/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # A131777
Hospital affiliation(s)
  • PROVIDENCE TARZANA MEDICAL CENTER - (Acute Care)
    18321 CLARK STREET
    TARZANA, CA 91356
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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