Healthcare Provider Details

I. General information

NPI: 1942004254
Provider Name (Legal Business Name): RYAN MICHAEL INGLEHART DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2025
Last Update Date: 04/03/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32909 TEMECULA PKWY STE 106
TEMECULA CA
92592-6907
US

IV. Provider business mailing address

227 RED CLOUD DR
DIAMOND BAR CA
91765-1235
US

V. Phone/Fax

Practice location:
  • Phone: 951-216-3739
  • Fax:
Mailing address:
  • Phone: 805-708-8152
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC37187
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: