DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. RYAN CASSIDY BOHANNAN, DO

Active Sole Proprietor

DR. RYAN CASSIDY BOHANNAN, DO is a Student (Health Education/Training) healthcare provider located in LA JOLLA, California. NPI 1558155564 is currently active in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · LA JOLLA, CA

Registration Details

NPI Number
1558155564
Provider Type
Individual
Gender
Male
NPI Issued
Apr 7, 2025 (1.3260881616244 yrs)
Last Updated
Apr 7, 2025
Sole Proprietor
Yes

Practice Information

Address
9500 GILMAN DR
LA JOLLA, CA, 920935004
Browse CA providers · Browse ZIP 92093
Phone
9099576124
Primary Specialty
Student (Health Education/Training)
390200000X

Other Student (Health Education/Training) Providers in LA JOLLA, CA

Name Credential NPI
JEANNE ELENA MAGLIONE M.D. 1215077003
DR. ALANA IGLEWICZ M.D. 1225163637
SADAKATSU IKEDA MD 1699925255
JONATHAN TUNG MD 1649505744
KRISHNAN RANGARAJAN M.D. 1750691523
SHABNAM KHASHABI TAYLOR M.D. 1487944062
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.