Individual
MR. MICHAEL RYAN LENIHAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
955 LANE AVE STE 200, CHULA VISTA, CA 91914-4525
(619) 421-3400
(619) 421-3557
Mailing address
955 LANE AVE STE 200, CHULA VISTA, CA 91914-4525
(619) 421-3400
(619) 421-3557
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
52066
CA
Other
Enumeration date
12/08/2014
Last updated
06/16/2021
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