Provider Demographics
NPI:1174769863
Name:GESSAY, RYAN (DC)
Entity type:Individual
Prefix:DR
First Name:RYAN
Middle Name:
Last Name:GESSAY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 S CEDROS AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SOLANA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92075-1919
Mailing Address - Country:US
Mailing Address - Phone:858-481-2481
Mailing Address - Fax:858-876-1684
Practice Address - Street 1:320 S CEDROS AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:SOLANA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92075-1919
Practice Address - Country:US
Practice Address - Phone:858-481-2481
Practice Address - Fax:858-876-1684
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-30
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30936111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor