Michael Ryan Lising Pingol, PA-C

NPI #1265969315 in Fountain Valley, California

Provider Information

NPI Number: 1265969315
Entity Type: Individual
Name: Michael Ryan Lising Pingol, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 19, 2017
Last Updated: Nov 11, 2020

Practice Location

Address: 11160 WARNER AVE STE 311
City: Fountain Valley
State: California
ZIP Code: 92708-4055
Phone: (714) 850-7300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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