Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 33816 | CA |
N | 111NR0400X | Rehabilitation Chiropractor | 33816 | CA |
N | 111NS0005X | Chiropractic Sports Physician | 33816 | CA |
N | 111NX0800X | Chiropractor Orthopedic Specialist | 33816 | CA |
NPI | 1801337373 |
---|---|
Provider Name | Dr. Ryan Silbernick |
First Address | San Diego, CA 92108-3722 |
Second Address | San Diego, CA 92108-3722 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2017 |
Last Update Date | 16/03/2017 |