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NPI Code Detail

MEDICARE: LELA RYAN

MEDICARE:   LELA  RYAN
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1760124945
Entity Type Code : Individual
Provider Name (Legal Business Name) : LELA RYAN
Provider Business Mailing Address
First Line : 177 E COLORADO BLVD STE 200
Second Line :
City : PASADENA
State : CA
Zip : 91105-1955
Country : US
Telephone Number : 844-669-7827
Fax Number :
Provider Business Practice Location Address
First Line : 177 E COLORADO BLVD STE 200
Second Line :
City : PASADENA
State : CA
Zip : 91105-1955
Country : US
Telephone Number : 844-669-7827
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2022
Last Update Date : 03/16/2026

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Directions to “ LELA RYAN ” Practice Location

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