| Doctor Name: | RYAN K AH SAN |
| NPI Number: | 1013181346 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | PA15744 |
| Business Practice Address: | 29472 Avenida De Las Bandera Rancho Santa Margarita, CA - 926882651 |
| Business Phone Number: | 9494599968 |
| Business Fax Number: | 9497662565 |
| Mailing Address: | 17360 Brookhurst St, Attn: Mcmf - Credentialing Department FOUNTAIN VALLEY |
| State: | CA |
| Postal Code: | 927083720 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 04/17/2008 |
| NPI Last Update Date: | 03/09/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA15744 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |