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General NPI Number Information
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NPI Number | 1952450066
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Entity Type | Individual
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Provider Name | RYAN C LARSCHEID M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 01/06/2024
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Provider Practice Location Address
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Address Line | 320 LENNON LN
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City | WALNUT CREEK
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State | CA
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Zip | 94598-2419
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Country | US
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Telephone | 925-906-2010
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Fax | 925-906-2332
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Provider Business Mailing Address
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Address Line | 4427 MENSHA PL
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City | SAN DIEGO
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State | CA
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Zip | 92130-2435
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Country | US
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Telephone | 949-929-4559
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | A80089
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License Number State | CA
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