Individual
DR. BRENT RIDDER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
23961 CALLE DE LA MAGDALENA, #115, LAGUNA HILLS, CA 92653-3616
(949) 206-4633
(949) 855-2314
Mailing address
23961 CALLE DE LA MAGDALENA, #115, LAGUNA HILLS, CA 92653-3616
(949) 206-4633
(949) 855-2314
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A80485
CA
Other
Enumeration date
06/09/2006
Last updated
07/09/2007
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