Individual
RYAN PAUL WINGCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2801 ATLANTIC AVE, LONG BEACH MEMORIAL MED CTR ATTN: EMERGENCY DEPARTMENT, LONG BEACH, CA 90806-1701
(562) 933-1411
Mailing address
26895 ALISO CREEK RD # B-311, ALISO VIEJO, CA 92656-5301
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA52941
CA
Other
Enumeration date
11/26/2015
Last updated
06/02/2016
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