Individual provider · Type 1 NPI
Jacob Wayne Ries, PA-C
Surgical Physician Assistant · Orange, CA
NPI number
1598260671
Active
Practice location
1140 W La Veta Ave Ste 860
Orange, CA 92868-4218
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | PA55464 (CA) |
Surgical Physician Assistant: Definition to come...
Another provider at this address
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About NPI 1598260671
Jacob Wayne Ries, PA-C's National Provider Identifier is 1598260671, issued on Mar 29, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Orange, CA. The record was last updated on Mar 29, 2018.