Individual provider · Type 1 NPI
Ryan Matthew Spivak, MD
Plastic and Reconstructive Surgery Physician · Lynwood, CA
NPI number
1093020018
Active
Practice location
3680 E Imperial Hwy Ste 502
Lynwood, CA 90262-2661
Mailing address
PO Box 46666
Los Angeles, CA 90046-0666
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | A113632 (CA) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
4 other providers at this address
About NPI 1093020018
Ryan Matthew Spivak, MD's National Provider Identifier is 1093020018, issued on Aug 13, 2010. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Lynwood, CA. The record was last updated on May 8, 2018.