Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ryanrae Skin

Organization Allergy Physician · NPI 1578340907

Ryanrae Skin is an Allergy Physician in Aliso Viejo, California. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

2 Journey Ste 201
Aliso Viejo, CA 92656-3373
Phone: (949) 287-4900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Allergy Physician (primary) Taxonomy 207KA0200X

Record details

NPI number1578340907
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gillian Bassirpour — Ceo, Cfo · (949) 287-4900
Other names Laguna Allergy Medical Boutique; Laguna Allergy Medical Boutique
NPI enumeratedSeptember 11, 2023
Last updated in NPPESSeptember 11, 2023
Certification dateSeptember 11, 2023
Mailing address2 Journey Ste 201, Aliso Viejo, CA 92656-3373

Other providers in Aliso Viejo