Ryan H Villamater PA

NPI 1659451201 - Physician Assistant - 363AS0400X

NPI Details
NPI 1659451201
Gender Male
Enumeration Date 10/17/2006
Last Updated 07/13/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
10833 LE CONTE AVE
LOS ANGELES CA, 90095-3075, US
Phone (310) 825-9820
Fax
Business Location
5767 W CENTURY BLVD
SUITE 400
LOS ANGELES CA, 90045-5631, US
Phone (310) 825-9820
Fax
Toxanomy
Taxonomy Code 363AS0400X
License State California
License Number PA19639
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According to our database, Ryan H Villamater PA NPI is 1659451201, taxonomy code is 363AS0400X and license number is PA19639, license state is located at California. Ryan H Villamater PA physically located at 10833 Le Conte Ave, Los Angeles CA, 90095-3075. NPI Number Ryan H Villamater PA has the Individual type.

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1659451201 NPI number is provided on an as is basis without warranty of any kind. 1659451201 is maintained by the National Plan & Provider Enumeration System. The contents of Ryan H Villamater PA are for informational purposes only.