| Ryan Michael Flannery, | |
|
2035 E Ball Rd Ste 100a, Anaheim, CA 92806-5158 | |
| (714) 517-6351 | |
| Not Available |
| Full Name | Ryan Michael Flannery |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 2035 E Ball Rd Ste 100a, Anaheim, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316560428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 17002 (California) | Primary |
| Entity Name | Grow Healthcare Group PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
| Entity Name | Sud Specialty Group - Ca |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972138238 PECOS PAC ID: 9537534177 Enrollment ID: O20230412001370 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Michael Flannery, 705 W La Veta Ave Ste 208, Orange, CA 92868-4448 Ph: (714) 532-9295 | Ryan Michael Flannery, 2035 E Ball Rd Ste 100a, Anaheim, CA 92806-5158 Ph: (714) 517-6351 |
Rosemary Charmaine Dacosta, Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 W. Cerritos, Building 4, Anaheim, CA 92805 Phone: 714-687-6710 |
Ms. Judy Ann Bordeaux, MFTT Counselor Medicare: Not Enrolled in Medicare Practice Location: 131 W Midway Dr, Anaheim, CA 92805 Phone: 714-517-7107 |
Dr. Steven Paul Euler, PSYD, LAADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 711 E Ball Rd Ste 201, Anaheim, CA 92805 Phone: 714-254-8473 Fax: 714-254-8480 |
Joanne Han, Counselor Medicare: Not Enrolled in Medicare Practice Location: 131 W Midway Dr, Anaheim, CA 92805 Phone: 714-517-7107 |
Alataua Tuua-burch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 233 S Quintana Dr, Anaheim, CA 92807 Phone: 714-363-1995 |
Emily Ruth Ploch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 233 S Quintana Dr, Anaheim, CA 92807 Phone: 714-988-9822 |
Juanita Montano Sanchez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1360 S Anaheim Blvd Ste 101, Anaheim, CA 92805 Phone: 714-948-7641 |