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Ryan Paul Clare

Internal Medicine

Allopathic & Osteopathic Physicians

1526 N Edgemont St, 3rd Floor, Cardiology Department, Los Angeles, CA 90027-5260

PECOS Enrollment

This provider is enrolled in PECOS as RYAN CLARE.

Based on the most recent information from CMS, provider Ryan Paul Clare is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1588925226
Provider Type
Individual
Full Name
Clare, Ryan Paul
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
5/29/2012
Last Updated
12/3/2021

Contact Information

Practice Location

1526 N Edgemont St, 3rd Floor, Cardiology Department, Los Angeles, CA 90027-5260

(323) 783-4516

Unlisted Fax

Mailing Location

1526 N Edgemont St, 3rd Floor, Cardiology Department, Los Angeles, CA 90027-5260

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License A132197 California

Ryan Paul Clare

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Hagop G Bezikian

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