Individual
MR. JON TYRA RIKIMARU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
2 S POINTE DR STE 240, LAKE FOREST, CA 92630-2281
(949) 699-0600
(949) 699-0600
Mailing address
2 S POINTE DR STE 240, LAKE FOREST, CA 92630-2281
(949) 699-0600
(949) 699-0600
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
02/26/2026
Last updated
02/26/2026
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