Organization
DYER'S URGENT CARE MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT W RIDDER M.D. (PHYSICIAN AND OWNDER)
(949) 206-4633
Entity
Organization
Contact information
Practice address
23961 CALLE DE LA MAGDALENA, SUITE 115, LAGUNA HILLS, CA 92653-3616
(949) 206-4633
(949) 855-2314
Mailing address
23961 CALLE DE LA MAGDALENA, SUITE 115, LAGUNA HILLS, CA 92653-3616
(949) 206-4633
(949) 855-2314
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
A80485
CA
Other
Enumeration date
08/05/2006
Last updated
08/22/2020
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