MEDICARE: RYRA INCORPORATED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251K00000X	Public Health or Welfare Agency
2	251B00000X	Case Management Agency
3	261QC1500X	Community Health Clinic/Center
4	374J00000X	Doula
5	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1588412431
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RYRA INCORPORATED

Provider Business Mailing Address
First Line	:	10950 CHURCH ST
Second Line	:	2522
City	:	RANCHO CUCAMONGA
State	:	CA
Zip	:	91730-8084
Country	:	US
Telephone Number	:	323-678-3874
Fax Number	:

Provider Business Practice Location Address
First Line	:	10950 CHURCH ST
Second Line	:	2522
City	:	RANCHO CUCAMONGA
State	:	CA
Zip	:	91730-8084
Country	:	US
Telephone Number	:	323-678-3874
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JAZS LOVELACE
Credential	:
Telephone Number	:	323-678-3874

Provider Enumeration Date	:	05/07/2024
Last Update Date	:	04/08/2025

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Directions to “RYRA INCORPORATED ” Practice Location

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