MICHAEL RYAN LISING PINGOL

FOUNTAIN VALLEY, CA
NPI1265969315
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA54794)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2017-05-19
Last Update Date2020-11-11
Business Address
MICHAEL RYAN LISING PINGOL PA-C
11160 WARNER AVE STE 311
FOUNTAIN VALLEY, CA 92708-4055
Phone number: 714-850-7300
Mailing Address
MICHAEL RYAN LISING PINGOL PA-C
11160 WARNER AVE STE 311
FOUNTAIN VALLEY, CA 92708-4055
Phone number: 714-850-7300
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