Brent Ridder, Md,inc.

NPI 1063848406 - Clinic/Center - 261Q00000X

NPI Details
NPI 1063848406
Enumeration Date 09/17/2013
Last Updated 09/17/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name BRENT W BRENT
Position PRESIDENT
Phone (949) 206-4633
Fax (949) 855-2314
Practice Location
23961 CALLE DE LA MAGDALENA
#115
LAGUNA HILLS CA, 92653-3616, US
Phone (949) 206-4633
Fax (949) 855-2314
Business Location
23961 CALLE DE LA MAGDALENA
#115
LAGUNA HILLS CA, 92653-3616, US
Phone (949) 206-4633
Fax (949) 855-2314
Toxanomy
Taxonomy Code 261Q00000X
License State
License Number
Remove 1063848406 NPI Number
 

According to our database, Brent Ridder, Md,inc. NPI is 1063848406, taxonomy code is 261Q00000X Brent Ridder, Md,inc. physically located at 23961 Calle De La Magdalena, Laguna Hills CA, 92653-3616. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1063848406 NPI number is provided on an as is basis without warranty of any kind. 1063848406 is maintained by the National Plan & Provider Enumeration System. The contents of Brent Ridder, Md,inc. are for informational purposes only.