Healthcare Provider Details

I. General information

NPI: 1659021434
Provider Name (Legal Business Name): RYAN SAWELSON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2022
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20911 EARL ST STE 100
TORRANCE CA
90503-4354
US

IV. Provider business mailing address

20911 EARL ST STE 100
TORRANCE CA
90503-4354
US

V. Phone/Fax

Practice location:
  • Phone: 310-547-7495
  • Fax:
Mailing address:
  • Phone: 310-547-7495
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA202869
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: