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1659451201
RYAN HENRY VILLAMATER
LOS ANGELES, CA
NPI
1659451201
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CA PA19639)
Enumeration Date
2006-10-17
Last Update Date
2024-01-25
Business Address
RYAN HENRY VILLAMATER PA
100 UCLA MEDICAL PLZ STE 630
LOS ANGELES, CA 90024-6997
Phone number: 310-825-9011
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Mailing Address
RYAN HENRY VILLAMATER PA
5767 W CENTURY BLVD SUITE 400
LOS ANGELES, CA 90045-5631
Phone number: 310-825-9820
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