Black, Ryan

Black, Ryan is an individual health care provider with primary practice located at 15101 Fairfield Ranch Rd Unit 6305 , Chino Hills CA 91709-8875. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Black, Ryan can be contacted via phone (760) 420-4123.

Contact Information

Primary practice address
15101 Fairfield Ranch Rd Unit 6305 Chino Hills CA 91709-8875
Phone: (760) 420-4123
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA63384 California

Profile Details

NPI number 1972375079
LBN Legal business name Black, Ryan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2023
Last updated Oct 23rd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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