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NPI Code Detail

MEDICARE: DR. MATTHEW HEPNER RYAN PH.D.

MEDICARE:  DR. MATTHEW HEPNER RYAN  PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistPSY11540CA

General Provider Information

NPI Number : 1023366721
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW HEPNER RYAN PH.D.
Provider Business Mailing Address
First Line : 1990 S BUNDY DR STE 320
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-5249
Country : US
Telephone Number : 310-826-3235
Fax Number : 310-447-0840
Provider Business Practice Location Address
First Line : 1990 S BUNDY DR STE 320
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-5249
Country : US
Telephone Number : 310-826-3235
Fax Number : 310-447-0840
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2012
Last Update Date : 08/28/2012

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Directions to “ DR. MATTHEW HEPNER RYAN PH.D.” Practice Location

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