Search › California › 171400000X
Bryan Henriquez
NPI 1700742459 · on the registry since 2025 · sole proprietor
Practice
- Address
- 563 Lytle Creek Rd
P O Box 158
Lytle Creek, CA 92358 - Phone
- (909) 704-5789
Registry record
- Primary taxonomy
- 171400000X
171400000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-12-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California