DR. RYAN MATTHEW SPIVAK


Address: 3680 E Imperial Hwy Ste 502, Lynwood, CA 90262-2661
Phone: 3109053331

DR. RYAN MATTHEW SPIVAK (NPI# 1093020018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093020018
Entity Type Individual
Full Name DR. RYAN MATTHEW SPIVAK
Credential M.D.
Practice Address 3680 E Imperial Hwy Ste 502
Lynwood
CA 90262-2661
Mailing Address Po Box 46666
Los Angeles
CA 90046-0666
Practice Telephone 3109053331
Mailing Telephone 3107393197
Enumeration Date 2010-08-13
Last Update Date 2018-05-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0122X Surgery
Specialization: Plastic and Reconstructive Surgery
A113632 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 3680 E IMPERIAL HWY STE 502
City LYNWOOD
State CA
Zip Code 90262-2661

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023620572 Endovascular Surgical Associates of Los Angeles Surgery 3680 E Imperial Hwy Ste 502, Lynwood, CA 90262-2661 2020-08-17
1013226877 Shahin Pourrabbani Surgery 3680 E Imperial Hwy Ste 502, Lynwood, CA 90262-2661 2010-09-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811546062 Sheila Maxine Wilkins Technician 3940 Palm Ave, Lynwood, CA 90262 2019-09-10
1891344669 Chezoma Latissue Davis Technician 4255 Niland St, Lynwood, CA 90262 2019-09-05
1295223345 Scla Comprehensive Surgical Medical Group, Inc. Clinic/Center 3628 E Imperial Hwy Ste 204, Lynwood, CA 90262 2018-04-24
1891213807 Grecia Veronica Nunez Case Manager/Care Coordinator 3680 E. Imperial Highway, Suite 200, Lynwood, CA 90262 2017-08-30
1134643448 Angelica Jazmin Alonso Cortes Case Manager/Care Coordinator 2610 Industry Way Suite A, Lynwood, CA 90262 2017-07-28
1134594997 Corinne Palma Counselor 11705 S. Alameda St., Lynwood, CA 90262 2015-12-04
1891175550 Nancy Bremmer Counselor 10705 S. Alameda Street, Los Angels, CA 90262 2015-06-08
1588041347 Jennifer Montoya Case Management 5433 E. Pelleur St., Lynwood, CA 90262 2015-04-30
1124440060 Susana Gyek Goy Chiropractor 11123 Long Beach Blvd. Suite 5, Lynwood Health Center, Lynwood, CA 90262 2014-01-13
1215368956 Baart Community Healthcare Clinic/Center 11315 S. Atlantic Blvd., Lynwood, CA 90262 2013-12-05
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Taxonomy Information

Taxonomy Code 2086S0122X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Plastic and Reconstructive Surgery

Taxonomy Definition

A surgeon who specializes in plastic and reconstructive surgery.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1699382523 Beverly Hills Outpatient Surgery Center Inc Surgery 50 N La Cienega Blvd Ste 203, Beverly Hills, CA 90211-2246 2020-09-24
1558907857 California Surgical and Anesthesia Services, Inc Surgery 3500 S Bristol St Ste 203, Santa Ana, CA 92704-7306 2019-11-21
1710533864 Elite Transformations, A Professional Medical Corporation Surgery 1795 El Camino Real Ste 200, Palo Alto, CA 94306-1165 2019-08-14
1326503632 Andre P. Marshall, Md Inc Surgery 32456 Crown Valley Pkwy Apt 105, Dana Point, CA 92629-3312 2019-01-31
1598245474 Jenny Marie Hullinger Surgery 711 4th Ave Ste 200, San Diego, CA 92101-6863 2018-08-20
1497249817 Alexander Villicana Md LLC Surgery 624 W Duarte Rd Ste 201, Arcadia, CA 91007-9261 2018-06-19
1316431273 Justin E. West, Md Inc. Surgery 230 S Main St Ste 210, Orange, CA 92868-3851 2018-06-14
1811430234 Marc Hamilton Hedrick Surgery 3020 Callan Rd, San Diego, CA 92121-1109 2016-12-02
1285082859 Daniel Suissa Surgery 9201 W Sunset Blvd Ste 708, West Hollywood, CA 90069-3708 2016-05-24
1780030478 Eric Yu Kit Li Surgery 10430 S De Anza Blvd Ste 170, Cupertino, CA 95014-3000 2016-05-11
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Competitor

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City LYNWOOD
Zip Code 90262

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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