Dr. Ryan Bradley Estacio Ortizo, M.D.
Family Medicine in Riverside, CA. Individual provider (NPI-1).
NPI number1083173348
StatusActive
Last updated in NPPESJan 16, 2026
Details
- NPI
- 1083173348
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ryan Bradley Estacio Ortizo
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 17, 2019
- Certification date
- Jan 16, 2026
- Last updated
- Jan 16, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | A180446 | CA | Yes |
Practice location
4435 Brockton AveRiverside, CA 92501-4004
Phone 951-682-9900
Mailing address
4435 Brockton AveRiverside, CA 92501-4004
Phone 951-682-9900
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