RYAN MICHAEL OCONNELL

FULLERTON, CA
NPI1134770811
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CA  PA58938)
Enumeration Date2019-09-24
Last Update Date2020-12-09
Business Address
Mr. RYAN MICHAEL OCONNELL
2575 YORBA LINDA BLVD
FULLERTON, CA 92831-1615
Phone number: 858-291-2503
Mailing Address
Mr. RYAN MICHAEL OCONNELL
610 LAGUNA RD
FULLERTON, CA 92835-2434
Phone number: 858-291-2503