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Jacob Wayne Ries, PA-C
Surgical Physician Assistant in Orange, California
NPI 1598260671

Jacob Wayne Ries is a Surgical Physician Assistant based in Orange, CA and is specialized in Surgical. Jacob Wayne Ries practices in Orange, CA and has the professional credentials of PA-C. The NPI Number for Jacob Wayne Ries is 1598260671 and holds a License No. PA55464 (California).

The current practice location address for Jacob Wayne Ries is 1140 W La Veta Ave Ste 860, Orange, CA and can be reached out via phone at 714-835-6500.

Location: 1140 W La Veta Ave Ste 860, Orange, CA, 92868-4218
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598260671
Provider Name
Jacob Wayne Ries
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1140 W La Veta Ave Ste 860, Orange, CA, 92868-4218
Phone Number
714-835-6500
Fax Number
Provider Enumeration Date
03/29/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1140 W La Veta Ave Ste 860
City
Orange
State
California
Zip
92868-4218
Phone Number
714-835-6500
Fax Number
person
Provider Business Mailing Address Details
Address
1140 W La Veta Ave Ste 860
City
Orange
State
California
Zip
92868-4218
Phone Number
714-835-6500
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
PA55464 (California)
Definition
Definition to come...
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