Most Relevant Information
Provider Data
| NPI Number: | 1003259664 |
| Provider Name: | RYAN CARTER |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/14/2013 |
| Last Updated: | 12/17/2021 |
Provider Practice Location
2121 WILSHIRE BLVD
STE 101
SANTA MONICA
CA
904035720
Practice Location Phone/Fax
| Phone: | 3108280011 |
| Fax: | 3108282001 |
Provider Mailing Location
2350 W EL CAMINO REAL
2ND FLOOR
MOUNTAIN VIEW
CA
940406201
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |