Dr. Ryan Mattie
Pain Medicine
1017 S Fair Oaks Ave
Pasadena
, California 91105
Dr. Ryan Mattie
Pain Medicine
1017 S Fair Oaks Ave
Pasadena
, California 91105
(626) 403-2580
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About
Features
Specialties
- Pain Medicine
Languages spoken
- English
Location
First Address
- Dr. Ryan Mattie
- 1017 S Fair Oaks Ave
- Pasadena, CA
- Zip : 91105-2621
- Fax : (626) 403-2580
- Phone : (626) 403-6200
Second Address
- Dr. Ryan Mattie
- 1017 S Fair Oaks Ave
- Pasadena, CA
- Zip : 91105
- Fax : (626) 403-2580
- Phone : (626) 403-6200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081P2900X | Pain Medicine | A131777 | CA |
National Provider Identifier
| NPI | 1245615350 |
|---|---|
| Provider Name | Dr. Ryan Mattie |
| First Address | Pasadena, CA 91105-2621 |
| Second Address | Pasadena, CA 91105 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/07/2015 |
| Last Update Date | 01/06/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.