RYAN BLACK

CORONA, CA
NPI1972375079
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CA  PA63384)
Enumeration Date2023-10-23
Last Update Date2024-10-30
Business Address
Mr. RYAN BLACK PA-C
802 MAGNOLIA AVE STE 205
CORONA, CA 92879-3144
Phone number: 951-281-2730
Mailing Address
Mr. RYAN BLACK PA-C
40335 WINCHESTER RD SUITE E #238
TEMECULA, CA 92591
Phone number: 760-420-4123