Individual
MR. RYAN MICHAEL OCONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1401 W 1ST ST, SANTA ANA, CA 92703-3757
(714) 542-9700
(714) 542-9708
Mailing address
610 LAGUNA RD, FULLERTON, CA 92835-2434
(858) 291-2503
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA58938
CA
Other
Enumeration date
09/24/2019
Last updated
07/08/2025
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