Individual
RYAN HEITMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
28780 SINGLE OAK DR, #160, TEMECULA, CA 92590-3625
(851) 676-4193
Mailing address
28780 SINGLE OAK DR, #160, TEMECULA, CA 92590-3625
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
52782
CA
Other
Enumeration date
09/04/2015
Last updated
02/20/2020
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