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NPI Code Detail

MEDICARE: DR. RYAN FALCIONI PH.D.

MEDICARE:  DR. RYAN  FALCIONI  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
1374K00000XReligious Nonmedical Practitioner

General Provider Information

NPI Number : 1588522585
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RYAN FALCIONI PH.D.
Provider Business Mailing Address
First Line : 1783 LEGGIO LN
Second Line :
City : UPLAND
State : CA
Zip : 91784-9293
Country : US
Telephone Number : 909-518-3322
Fax Number :
Provider Business Practice Location Address
First Line : 1783 LEGGIO LN
Second Line :
City : UPLAND
State : CA
Zip : 91784-9293
Country : US
Telephone Number : 909-518-3322
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2026
Last Update Date : 01/12/2026

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Directions to “ DR. RYAN FALCIONI PH.D.” Practice Location

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