Individual
ANDREA VAN RY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24451 HEALTH CENTER DR, LAGUNA HILLS, CA 92653-3689
(949) 837-4500
Mailing address
15 RANA, RANCHO SANTA MARGARITA, CA 92688-1501
(949) 709-5120
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95009896
CA
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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