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Provider Information for 1922368851



DR. RYAN K. LOUIE M.D., PH.D.

Gender: MALE

Individual NPI: 1922368851

Calendar Last Updated: 2017-04-28

Details

Name Value
NPI 1922368851
Enumeration Date 2012-05-25
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 3400 DATA DR
RANCHO CORDOVA, CA 95670-7956
United States

Phone: | Fax:
View Map External Link
Primary Practice Address 2250 HAYES ST STE 302
SAN FRANCISCO, CA 94117-1078
United States

Phone: 415-750-5995 | Fax:
View Map External Link
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 2084P0800X - Psychiatry & Neurology Psychiatry CA A144170
Other Identifiers
Issuer State Number