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

Ryan Fong

Individual provider Registered Nurse · NPI 1053289751

Ryan Fong is a Registered Nurse in LA Jolla, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

9888 Genesee Ave
LA Jolla, CA 92037-1205
Phone: (858) 834-1798
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 95333029 (CA)

Record details

NPI number1053289751
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 25, 2025
Last updated in NPPESOctober 25, 2025
Certification dateOctober 25, 2025
Mailing address9888 Genesee Ave, La Jolla, CA 92037-1205

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