Provider Demographics
NPI:1952450066
Name:LARSCHEID, RYAN C (MD)
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:C
Last Name:LARSCHEID
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4427 MENSHA PL
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-2435
Mailing Address - Country:US
Mailing Address - Phone:949-929-4559
Mailing Address - Fax:
Practice Address - Street 1:320 LENNON LN
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-2419
Practice Address - Country:US
Practice Address - Phone:925-906-2010
Practice Address - Fax:925-906-2332
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2024-01-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA80089207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAI01278Medicare UPIN