Individual
RYAN FISHER RICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
21634 RETREAT PKWY, CORONA, CA 92883-6100
(951) 493-6915
(951) 826-8136
Mailing address
21634 RETREAT PKWY, CORONA, CA 92883-6100
(951) 493-6915
(951) 826-8136
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3898
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ92058Z
GROUP SITE LOCATION
—
Enumeration date
11/23/2005
Last updated
04/11/2025
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