JACK RYAN


Address: 2137 E Ocean Blvd, Long Beach, CA 90803-2434
Phone: 5624344060

JACK RYAN (NPI# 1548894207) 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) 1548894207
Entity Type Individual
Full Name JACK RYAN
Practice Address 2137 E Ocean Blvd
Long Beach
CA 90803-2434
Mailing Address 2211 E Ocean Blvd
Long Beach
CA 90803-2440
Practice Telephone 5624344060
Mailing Telephone 5624344060
Enumeration Date 2020-03-02
Last Update Date 2020-03-02
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
6473 CA Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2135 E Ocean Blvd, Long Beach, CA 908032434 5624344060
2211 E Ocean Blvd, Long Beach, CA 908032440 5624344060
2213 E Ocean Blvd, Long Beach, CA 908032440 5624344060

Other Providers JACK RYAN

NPI Name Taxonomy Address Enumeration
1922252246 Jack Ryan Counselor 2475 Albany Ave Ste 203b, West Hartford, CT 06117-2523 2008-11-13

Office Location

Street Address 2137 E OCEAN BLVD
City LONG BEACH
State CA
Zip Code 90803-2434

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821400144 New Found Life, Inc Substance Abuse Rehabilitation Facility 2137 E Ocean Blvd, Long Beach, CA 90803-2434 2014-05-21
1386241982 Alexander Bartosch Counselor 2137 E Ocean Blvd, Long Beach, CA 90803-2434 2020-10-06
1053945709 Joshua Alexander Counselor 2137 E Ocean Blvd, Long Beach, CA 90803-2434 2020-03-02
1932733698 Sean Gray Counselor 2137 E Ocean Blvd, Long Beach, CA 90803-2434 2020-03-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568011377 Jand. Inc. Eyewear Supplier (Equipment, not the service) 6440 E. Pacific Coast Highway, Space B-165, Long Beach, CA 90803 2019-09-05
1518426931 Quashanika Marin Behavior Technician 55555 Anton Blvd, Costa Mesa, CA 90803 2019-03-15
1629569405 Shiori Koga Lange Social Worker 6615 E Pacific Coast Hwy Ste 225, Long Beach, CA 90803 2018-05-29
1083117832 Amos Hirsh Specialist/Technologist 3409 E 1st St., B, Long Beach, CA 90803 2018-03-16
1972029130 Lilia Bolgov Dietitian, Registered 3528 E 2nd St, Apt 1, Long Beach, CA 90803 2017-08-19
1669907523 Ashley Clary Substance Abuse Rehabilitation Facility 6621 Pacific Coast Highway, Long Beach, CA 90803 2017-04-27
1629438247 Victoria Nguyen Dental Corporation Dentist 6437 E. Pacific Coast Highway, Unit A-6, Long Beach, CA 90803 2016-02-24
1548633829 Anne Yeakel Chiropractor 6234 E Pacific Coast Hwy, Unit C, Long Beach, CA 90803 2015-11-09
1376921023 Lauren Katherine Mills Registered Nurse 6000 Bixby Village Drive #5, Long Beach, CA 90803 2015-05-14
1205173317 Richard Stuart Egan Otolaryngology 310 Blue Cavern Point, Long Beach, CA 90803 2013-01-09
Find all providers in zip 90803

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114534526 Lakeysher Swantima Whitfeld Counselor 1225 E 3rd St Apt A, Long Beach, CA 90802-3670 2020-09-29
1467061457 Alex Glowacki Counselor 212 Euclid Ave Apt 102, Long Beach, CA 90803-6033 2020-07-27
1154960441 Asopaepae Ropeti Mulitauaopele Counselor 2720 E 56th St, Long Beach, CA 90805-5104 2020-01-03
1689212029 Brian Scott Becher Counselor 4427 E Anaheim St # B, Long Beach, CA 90804-3115 2019-12-17
1134774912 Asucena Leon Counselor 2140 W Wardlow Rd Apt 3, Long Beach, CA 90810-2059 2019-08-07
1649746215 Cassandra Whitney Dewey Counselor 2120 W. Williams Street, Long Beach, CA 90810 2018-10-22
1598240442 Elle Whitney Anzalone Counselor 6502 E Wardlow Rd, Long Beach, CA 90808-4137 2018-09-26
1114404407 Anthony Sison Counselor 1358 Ximeno Ave, Long Beach, CA 90804-3045 2018-07-19
1073026738 Latrisha S. Stewart Counselor 2120 W Williams St Unit 31, Long Beach, CA 90810-3636 2017-11-15
1316462484 Kathlyn Pearl Parlet Counselor 351 E. 6th. Street, Long Beach, CA 90802 2017-08-09
Find all providers in LONG BEACH

Competitor

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City LONG BEACH
Zip Code 90803

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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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