Mr. Jon Ryan O'Hare, IDC
Mr. Jon Ryan O'Hare, IDC is a Military Health Care Provider in San Diego, California. Practices as a sole proprietor. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
Special Boat Team Twelve 3402 Tarawa RdSan Diego, CA 92155-9227
Phone: (619) 437-5540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Military Health Care Provider (primary) | Taxonomy 171000000X |
|---|
Record details
| NPI number | 1588006878 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | IDC |
| Sole proprietor | Yes |
| NPI enumerated | July 26, 2013 |
| Last updated in NPPES | May 15, 2025 |
| Certification date | May 15, 2025 |
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