Provider Demographics
NPI:1144530429
Name:PARTOVI, RYAN DARIUS I (JD, NMD, MIFHI)
Entity type:Individual
Prefix:DR
First Name:RYAN
Middle Name:DARIUS
Last Name:PARTOVI
Suffix:I
Gender:M
Credentials:JD, NMD, MIFHI
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14810 OLD CREEK RD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92131-4280
Mailing Address - Country:US
Mailing Address - Phone:855-855-5432
Mailing Address - Fax:858-712-4587
Practice Address - Street 1:1349 CAMINO DEL MAR STE B
Practice Address - Street 2:
Practice Address - City:DEL MAR
Practice Address - State:CA
Practice Address - Zip Code:92014
Practice Address - Country:US
Practice Address - Phone:855-855-5432
Practice Address - Fax:858-712-4587
Is Sole Proprietor?:No
Enumeration Date:2010-10-20
Last Update Date:2018-08-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ10-1221208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice