Angela Lynn Rysdyk, CRNP-AC is a
Nurse Practitioner physician based in Los Angeles, California. Angela Lynn Rysdyk is licensed to practice in California (license number 95019693) and her current practice location is 200 Ucla Medical Plz Ste 330, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(310) 267-7667.
NPI number for Angela Lynn Rysdyk is 1497416614 and her current mailing address is 5767 W Century Blvd Ste 400, Los Angeles, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1497416614.
Physician's Profile
| Full Name | Angela Lynn Rysdyk |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 200 Ucla Medical Plz Ste 330, Los Angeles, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1497416614
- Provider Enumeration Date: 01/10/2022
- Last Update Date: 11/12/2025
Medical Identifiers
Medical identifiers for Angela Lynn Rysdyk such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1497416614 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2080P0202X | Pediatrics - Pediatric Cardiology | 95019693 (California) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 95019693 (California) | Secondary |
| 363L00000X | Nurse Practitioner | 95019693 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Angela Lynn Rysdyk is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Angela Lynn Rysdyk, CRNP-AC 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () - | Angela Lynn Rysdyk, CRNP-AC 200 Ucla Medical Plz Ste 330, Los Angeles, CA 90095-8344 Ph: (310) 267-7667 |
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