| Hillary Boortz Ryan, MD | |
| 975 Sereno Dr, Department Of Radiology, Vallejo, CA 94589-2441 | |
| (707) 651-1400 | |
| Not Available | 
| Full Name | Hillary Boortz Ryan | 
|---|---|
| Gender | Female | 
| Speciality | Radiology - Diagnostic Radiology | 
| Location | 975 Sereno Dr, Vallejo, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1245491349 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | A11081 (California) | Primary | 
| Entity Name | Permanente Medical Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Hillary Boortz Ryan, MD 975 Sereno Dr, Department Of Radiology, Vallejo, CA 94589-2441 Ph: (707) 651-1400 | Hillary Boortz Ryan, MD 975 Sereno Dr, Department Of Radiology, Vallejo, CA 94589-2441 Ph: (707) 651-1400 | 
| Dean M. Genes, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
| Isaac L. Kaplan, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
| Dr. Cliff J Yeh, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-624-3147 | |
| Susan C. Hermanson, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
| Dongmi A. Surh, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
| Richard C. Placone Jr., MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 |