Brent Ridder, Md,inc. | |
23961 Calle De La Magdalena #115 Laguna Hills CA 92653-3616 | |
(949) 206-4633 | |
(949) 855-2314 |
Full Name | Brent Ridder, Md,inc. |
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Speciality | Clinic/center |
Location | 23961 Calle De La Magdalena, Laguna Hills, California |
Authorized Official Name and Position | Brent W Ridder (PRESIDENT) |
Authorized Official Contact | 9492064633 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Brent Ridder, Md,inc. 23961 Calle De La Magdalena #115 Laguna Hills CA 92653-3616 Ph: (949) 206-4633 | Brent Ridder, Md,inc. 23961 Calle De La Magdalena #115 Laguna Hills CA 92653-3616 Ph: (949) 206-4633 |
NPI Number | 1063848406 |
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Provider Enumeration Date | 09/17/2013 |
Last Update Date | 09/17/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063848406 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (California) | Primary |
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