# CORY LYNN PHYSICIAN ASSISTANT CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689426736
- **Authorized official:** CORY RYAN PA-C (CEO)
- **Authorized official phone:** (760) 819-3700

## Contact information

- **Practice address:** 360 E 7TH ST STE D, UPLAND, CA 91786-6701
- **Practice address phone:** (909) 920-9193
- **Mailing address:** 15920 POMONA RINCON RD UNIT 1701, CHINO HILLS, CA 91709-5548
- **Mailing address phone:** (760) 819-3700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 04/02/2024
- **Last updated:** 04/02/2024