Provider Demographics
NPI:1356366488
Name:RYU, RICHARD K (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:K
Last Name:RYU
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2936 DE LA VINA ST
Mailing Address - Street 2:FIRST FLOOR
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-3354
Mailing Address - Country:US
Mailing Address - Phone:805-963-2729
Mailing Address - Fax:805-963-3818
Practice Address - Street 1:2936 DE LA VINA ST
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-3354
Practice Address - Country:US
Practice Address - Phone:805-963-2729
Practice Address - Fax:805-963-3818
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2013-07-10
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Provider Licenses
StateLicense IDTaxonomies
CAG47160207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0302610001Medicare NSC
CAA92704Medicare UPIN