Individual
ANDREW RIZEQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17612 17TH ST STE 101, TUSTIN, CA 92780-1962
(714) 243-5450
Mailing address
309 E 2ND ST, POMONA, CA 91766-1854
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/17/2024
Last updated
10/11/2024
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