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

Ryan Abdul-Haqq

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1386087864

Ryan Abdul-Haqq is a Vascular Surgery in West Hollywood, California. Graduated from Eastern Virginia Medical School in 2013, 13 years ago. Practices with Providence Saint Johns Health Center, a 4-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
13
Trained at
Eastern Virginia Medical School
Licensed in
CA
In the registry since
2013
Specialties on file
2

Practice location Address checks out

8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone: (310) 652-8132
Fax: (310) 358-9326
Show map & directions

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

Additional practice locations (1)

  • 2244 Pine Crest Dr, Vestavia, AL 35216-2110 — (205) 934-2006

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence A154965 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1386087864
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 15, 2013
Last updated in NPPESOctober 23, 2020
Certification dateOctober 23, 2020
Mailing address4140 W 190th St, Torrance, CA 90504-5513

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyVASCULAR SURGERY
Medical schoolEASTERN VIRGINIA MEDICAL SCHOOL
Graduated 2013 (13 years in practice)
Group practice Providence Saint Johns Health Center — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in West Hollywood