| Doctor Name: | DR. RYAN DARIUS PARTOVI |
| NPI Number: | 1144530429 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | J.D., N.M.D., MIFHI |
| License Number: | 10-1221 |
| Business Practice Address: | 12395 El Camino Real Ste. 209 San Diego, CA - 921303082 |
| Business Phone Number: | 8558555432 |
| Business Fax Number: | 8587124587 |
| Mailing Address: | 12395 El Camino Real, Ste. 209 SAN DIEGO |
| State: | CA |
| Postal Code: | 921303082 |
| Phone Number: | 8558555432 |
| Fax Number: | 8587124587 |
| NPI Enumeration Date: | 10/20/2010 |
| NPI Last Update Date: | 03/29/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 10-1221 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |