Individual
RYAN JEFFREY BERTICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11015 BLOOMFIELD AVE, SANTA FE SPRINGS, CA 90670-4601
(562) 906-2685
Mailing address
12070 TELEGRAPH RD, SANTA FE SPRINGS, CA 90670-3771
(562) 777-7500
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
E110670
CA
Other
Enumeration date
10/28/2022
Last updated
10/28/2022
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