Individual
ANDREA RIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11234 ANDERSON ST # 2562B, LOMA LINDA, CA 92354-2804
(909) 558-4479
Mailing address
1084 VISTA LOMAS LN, CORONA, CA 92882-3629
(909) 373-6775
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/04/2019
Last updated
10/27/2023
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