Search › California › 106H00000X
Ryan Sullivan
NPI 1205260635 · on the registry since 2013 · sole proprietor
Practice
- Address
- 11600 Eldridge Ave
Sylmar, CA 91342 - Phone
- (818) 686-3179
- Clinicians at this address
- 24
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-11-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California