Provider / Organization | NPI | Date Certified |
---|---|---|
RYAN ERDWINS | 1538736939 | 2021-06-05 |
Ryan Erdwins is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1538736939. Registration indicates Ryan Erdwins is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
Entity Type | Individual |
Provider Name | Ryan Erdwins DO |
Practice Office Address | 11234 ANDERSON ST LOMA LINDA, CA US |
Practice Office Telephone | 9095584174 |
Mailing Address | 11234 ANDERSON ST LOMA LINDA, CA 923542804 US |
Business Telephone | 9095584174 |
Code | Practice | License No State |
---|---|---|
390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |